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    OpenPayerNPI Medicare & MedicaidMichael Gardyn
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    Michael Gardyn — Billing Profile & Reimbursement Data

    NPI 1205981867 · Baltimore, MD · Interventional Pain Medicine Physician

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    Michael Gardyn is a interventional pain medicine physician provider located in Baltimore, Maryland. This profile covers 19 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
    OrganizationMichael Gardyn
    Address9106 Philadelphia Rd
    CityBaltimore
    StateMD
    ZIP21237
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedJanuary 24, 2007

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

    Payer SourceTotal Paid
    Medicare$220K
    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.

    19 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…1,280$100$121.6K
    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…340$70$24.2K
    97814The provider pierces the skin using one or more needles and stimulates anatomical points on or in the skin by manipulating the needles by electrical stimulation. This code represents each additional…420$30$12.6K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…310$30$10.4K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…200$40$8.3K
    97813The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by electrical stimulation for an initial…210$40$7.6K
    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$140$6.3K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).60$90$5K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…230$20$5K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.90$40$3.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64483155240100$220$32K
    9921428710,270150$90$24.1K
    97813310120$40$16.7K
    6232314920060$170$15.9K
    97814210170$30$14.9K
    9945789210170$40$13.2K
    992131,6789,280100$60$12.5K
    99454158230150$40$11.7K
    9945836150130$30$10.3K
    2061113420050$90$9K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Treatment Services LLCMDMethadone Clinic$1M$56.3M
    Thrive Behavioral Health, LLCMDCommunity/Behavioral Health Agency$0$51.8M
    Medstar Health Visiting Nurse Association, Inc.MDHome Health Agency$0$26.2M
    Medstar Franklin Square Physicians LLCMDGeneral Practice Physician$0$15.8M
    Amedisys Hospice, LLCMDCommunity Based Hospice Care Agency$0$15.6M
    Mosaic Community Services, Inc.MDComprehensive Outpatient Rehabilitation Facility (CORF)$0$13.9M
    Advance Adult Day Care L.L.C.MDAdult Day Care Clinic/Center$0$7.9M
    Franklin Square Hospital Center, IncMDGeneral Acute Care Hospital$0$7.2M
    Medstar Medical Group IiMDPsychiatry Physician$0$6.4M
    Edwin F. Aguilar, M.d., P.C.MDPediatrics Physician$0$5.6M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Michael Gardyn — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland