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    OpenPayerNPI Medicare & MedicaidWilford Gibson
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    Wilford Gibson — Billing Profile & Reimbursement Data

    NPI 1184681678 · Norfolk, VA · Orthopaedic Surgery Physician

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    Wilford Gibson is a orthopaedic surgery physician provider located in Norfolk, Virginia. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilford Gibson
    Address6160 Kempsville Cir
    CityNorfolk
    StateVA
    ZIP23502
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$189.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…50$990$46.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…390$90$33.8K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…30$960$28K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…380$60$22.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…360$50$19.2K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.510$30$14.8K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…80$110$8.1K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…200$30$6.3K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…30$110$3K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…30$70$1.9K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744713831040$1,150$64.4K
    2713012821040$1,040$45.9K
    992142,72212,890140$80$21K
    992131,37512,44090$60$10K
    20985193040$120$7.5K
    20610831,16060$50$6.1K
    992041,4126,85040$110$5.9K
    992032,6554,92030$70$3.8K
    735621271040$20$2K
    735028094040$20$1.6K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Wilford Gibson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William ByrdVAOrthopaedic Surgery Physician$489.9K$0
    Bradley CarofinoVAOrthopaedic Hand Surgery Physician$340.6K$0
    Chad MankeVAOrthopaedic Hand Surgery Physician$304.2K$0
    Jonathan StrandVAPhysical Medicine & Rehabilitation Physician$278.4K$0
    James SanderlinVAPhysical Medicine & Rehabilitation Physician$273.1K$0
    Samuel KlineVAOrthopaedic Hand Surgery Physician$244K$0
    Mark BewleyVASports Medicine (Orthopaedic Surgery) Physician$155K$0
    Bradley ButkovichVASports Medicine (Orthopaedic Surgery) Physician$142.1K$0
    Michael CampbellVAOrthopaedic Surgery Physician$122.3K$0
    George PayneVAOrthopaedic Surgery Physician$111.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Wilford Gibson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$79.7M
    Tremont Road Dental Super, P.C.VAGeneral Practice Dentistry$0$63.5M
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Emergency Physicians Of TidewaterVAEmergency Medicine Physician$0$47.9M
    Community Alternative IncVACommunity/Behavioral Health Agency$0$44.3M
    Life's JourneyVAAdult Mental Health Clinic/Center$0$24.4M
    Keys To Success Family & Developmental ServicesVACommunity/Behavioral Health Agency$0$16.1M
    Advantage Home Care, LLCVAHome Health Agency$0$15.7M
    National Counseling Group, IncVAMental Health Counselor$0$14.5M
    Childrens Medical Group IncVAPediatrics Physician$0$9.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Wilford Gibson — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia