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    OpenPayerNPI Medicare & MedicaidManish Gopal
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    Manish Gopal — Billing Profile & Reimbursement Data

    NPI 1205981230 · Somerset, NJ · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Manish Gopal is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Somerset, New Jersey. This profile covers 20 Medicare and 9 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
    OrganizationManish Gopal
    Address49 Veronica Ave
    CitySomerset
    StateNJ
    ZIP08873
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedJanuary 23, 2007

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

    Payer SourceTotal Paid
    Medicare$383.8K
    Medicaid$48.8K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…480$110$52.2K
    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…620$80$47.3K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…130$340$45.1K
    91120N/A70$460$32.8K
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…800$40$30.3K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.130$170$22.7K
    57265In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with…30$730$21.9K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…50$420$20K
    57267The provider inserts a prosthetic graft over the anterior and or posterior vaginal wall because of the lack of reasonable tissue strength. This is a vaginal approach procedure. This is an add–on…90$210$19.2K
    91122N/A70$240$17.5K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,10813,640130$90$23.6K
    5179221080$250$20.8K
    5200019429070$190$15.5K
    5726511020$670$14.8K
    9921390014,090100$70$13.1K
    5172925020$320$11K
    9112011020$380$10.3K
    5728813020$450$10K
    5726711020$210$7.9K
    5728211010$420$7.9K

    Showing 1–10 of 20

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…450$40$15.8K
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…650$20$14.8K
    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…460$20$11.1K
    51784This test measures the electrical activity in the anal or urethral sphincter muscles.90$30$2.3K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…20$120$2.2K
    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…50$30$1.6K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.20$50$860
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…540$1$540
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.20$10$270

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,5774,450740$40$229.8K
    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…2,0683,790580$60$204K
    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…7501,160110$110$79.7K
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.2120430$30$25.5K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…210140$180$24.7K
    51784This test measures the electrical activity in the anal or urethral sphincter muscles.31090$40$12.2K
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…43090$30$11.1K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.31030$90$8.9K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…138350270$1$2.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem New Jersey, Inc.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$218M
    Rwjbh Emergency Medicine Associates, LLCNJEmergency Medicine Physician$0$117.8M
    Everas Community Services, Inc.NJDevelopmentally Disabled Services Day Training Agency$0$114.2M
    Premier Supports, LLCNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$71.4M
    Forever Young Medical Day CareNJAdult Day Care Clinic/Center$0$35.8M
    Audiology Services Company Usa, LLCNJHearing and Speech Clinic/Center$0$33.3M
    Paradise Adult Day Healthcare LLCNJAdult Day Care Clinic/Center$0$27M
    National Mentor Healthcare, LLCNJIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$10.7M
    Franklin Township Publc SchoolsNJLocal Education Agency (LEA)$0$9.3M
    Jersey Behavioral Care LLCNJMental Health Counselor$0$8.7M

    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. New Jersey Distribution
    Manish Gopal — 11 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Manish Gopal — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey