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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Gerlach
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    Paul Gerlach — Billing Profile & Reimbursement Data

    NPI 1215025648 · Idaho Falls, ID · Cardiovascular Disease Physician

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    Paul Gerlach is a cardiovascular disease physician provider located in Idaho Falls, Idaho. This profile covers 32 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
    OrganizationPaul Gerlach
    Address2985 Cortez Ave
    CityIdaho Falls
    StateID
    ZIP83404
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedOctober 11, 2006

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

    Payer SourceTotal Paid
    Medicare$136K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…350$90$31.5K
    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…290$80$24.4K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…30$370$11.2K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…60$180$10.4K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…150$50$7.5K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.20$370$7.3K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…20$240$5.6K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…230$20$4.4K
    93296The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…310$10$4.3K
    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…70$60$4.1K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933062190190$60$14.2K
    33208122030$350$11.9K
    9292883030$370$11K
    992143842,69090$70$10.4K
    9923329140060$90$9.4K
    9345863030$170$7.2K
    9346061030$240$5.8K
    992131,4152,77070$50$5.7K
    932941240120$20$4K
    9345492020$130$2.9K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Hospital LLCIDGeneral Acute Care Hospital$0$45.7M
    Upper Valley Family Medicine PLLCIDFamily Medicine Physician$0$1.9M
    Idaho Heart Institute PCIDSpecialist$0$498K
    Wenshu YuUTRheumatology Physician$396.3K$0
    George GarciaIDCardiovascular Disease Physician$332.3K$0
    James BlaineIDMedical Physician Assistant$297.2K$0
    Terry BakerIDOtolaryngology Physician$74.8K$181.8K
    Scott TaylorIDInternal Medicine Physician$246.2K$0
    John ChambersIDCardiovascular Disease Physician$239K$0
    Patrick GormanIDCardiovascular Disease Physician$236.3K$0

    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. Idaho Distribution
    Paul Gerlach — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho