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    OpenPayerNPI Medicare & MedicaidRobert Gore
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    Robert Gore — Billing Profile & Reimbursement Data

    NPI 1194703108 · South Weymouth, MA · Diagnostic Radiology Physician

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    Robert Gore is a diagnostic radiology physician provider located in South Weymouth, Massachusetts. This profile covers 35 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Gore
    Address55 Fogg Rd
    CitySouth Weymouth
    StateMA
    ZIP02190
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJanuary 9, 2006

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

    Payer SourceTotal Paid
    Medicare$75.5K
    Medicaid$2.3K

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.1,130$30$35K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1,070$10$8.5K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,080$10$7.6K
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…140$20$3K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.60$40$2.2K
    74221The provider performs a double–contrast X–ray of the esophagus using high–density barium and an effervescent agent; the procedure includes scout films prior to ingestion of the barium and delayed…80$30$2.1K
    74220The provider uses imaging such as fluoroscopy to visualize the patient’s esophagus, typically while the patient swallows a barium sulfate compound; he views the live images and also records the…50$30$1.3K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.190$10$1.3K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$60$1.3K
    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…130$10$1.2K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7845231934070$160$13.4K
    704504590210$30$7.9K
    7055135340060$80$6.7K
    9388034536050$70$6.1K
    7212530650080$40$4K
    7104552620300$10$3.6K
    71046281,04090$10$2.3K
    9397030749030$50$2.1K
    9397128361050$30$2K
    7356411753050$20$2K

    Showing 1–10 of 35

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…260$10$2.1K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…10$10$90

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…243590150$10$61.1K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…315330230$1$31.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbor Medical Associates, Inc.MAClinical Medical Laboratory$1.8M$420.7K
    Harbor Medical Associates, Inc.MADiagnostic Radiology Physician$753K$191K
    Harbor Medical Associates, Inc.MADiagnostic Radiology Physician$620.5K$0
    Seth McclennenMAClinical Cardiac Electrophysiology Physician$548.9K$0
    Nicole WoodMAFamily Medicine Physician$419.7K$0
    Mohammadali MojarradMADiagnostic Radiology Physician$343.4K$40.3K
    Anahita GhorbaniMACardiovascular Disease Physician$350.3K$0
    Brendan MerchantDCInternal Medicine Physician$346.7K$0
    Anthony MarksMAInterventional Cardiology Physician$331.7K$200
    Paul SchubertMACardiovascular Disease Physician$323.9K$530

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Shore Hospital Inc.MAGeneral Acute Care Hospital$0$95.1M
    Coastal Medical AssociatesMAAnesthesiology Physician$0$10M
    Jennifer ByerMAMedical Oncology Physician$3.5M$0
    Shields Imaging Of Eastern Massachusetts LLCMAMobile Radiology Clinic/Center$2.7M$774.1K
    New England Eye Surgical Center IncMAOphthalmologic Surgery Clinic/Center$1.8M$271.1K
    Weymouth Endoscopy, LLCMAEndoscopy Clinic/Center$844.3K$4.7K
    Patricia HopkinsMAInternal Medicine Physician$733.6K$0
    George KroumpouzosMADermatology Physician$721.7K$0
    Stephen KoelbelMAPhysical Medicine & Rehabilitation Physician$392.9K$0
    Rajinder ChawlaMANephrology Physician$367.9K$11.8K

    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. Massachusetts Distribution
    Robert Gore — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Robert Gore — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts