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    OpenPayerNPI Medicare & MedicaidGil Wolfe
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    Gil Wolfe — Billing Profile & Reimbursement Data

    NPI 1215995535 · Buffalo, NY · Neurology Physician

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    Gil Wolfe is a neurology physician provider located in Buffalo, New York. This profile covers 10 Medicare and 4 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
    OrganizationGil Wolfe
    Address1010 Main St
    CityBuffalo
    StateNY
    ZIP14202
    TaxonomyNeurology Physician
    NPI EnumeratedMay 3, 2006

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

    Payer SourceTotal Paid
    Medicare$37.6K
    Medicaid$540

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in…890$20$21.4K
    95939The provider performs a central motor evoked potential study in the upper and lower limbs for diagnosis of multiple sclerosis and as a prognostic indicator for stroke motor recovery.40$90$3.7K
    95938In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…110$30$3.6K
    95861In this procedure, the provider uses an electromyograph to record electrical activity that skeletal muscle cells produce while the provider inserts needles into the muscle during rest and while…40$60$2.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.3K
    95870In this procedure, the provider performs needle electromyography, which refers to the recording and study of electrical activity of muscles using a needle electrode. Use this code when the provider…80$20$1.2K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…30$40$910
    95908In this procedure, the provider performs three or four nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…10$50$550
    95822Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…10$40$470
    95885The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction studies. The provider performs…30$10$450

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G04531350390$30$20.8K
    9588649356080$80$12.5K
    992236,7468,65040$150$9.3K
    95939234050$100$9.1K
    95938236060$60$7.6K
    95861214050$70$6.1K
    95870102090$20$2.9K
    958857713040$50$2.5K
    95908243020$70$1.9K
    95822324020$50$1K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…20$20$360
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…20$10$140
    J2930Injection, methylprednisolone sodium succinate, up to 125 mg20$1$60
    J1200Injection, diphenhydramine hcl, up to 50 mg20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…8790260$360$435.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…172200630$150$338K
    J2930Injection, methylprednisolone sodium succinate, up to 125 mg115140130$10$2K
    J1200Injection, diphenhydramine hcl, up to 50 mg181190730$1$970

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guthrie Medical Group, P.C.PAGeneral Practice Physician$0$82.1M
    Kaleida HealthNYGeneral Acute Care Hospital$0$80.7M
    Kaleida HealthNYGeneral Acute Care Hospital$0$30.9M
    Kaleida HealthNYGeneral Acute Care Hospital$0$22M
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    Andrew DunnNYDiagnostic Radiology Physician$596.3K$6.4K
    David CipollaNYDiagnostic Radiology Physician$534.2K$12.8K
    Harry BrownILDiagnostic Radiology Physician$123.2K$410.4K
    Scott PeplinskiNYDiagnostic Radiology Physician$481.6K$14.2K
    Michael FazioILDiagnostic Radiology Physician$294.3K$184.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trusted Nurse StaffingNYNursing Care Agency$0$85.5M
    Bestself Behavioral Health, Inc.NYMental Health Clinic/Center (Including Community Mental Health Center)$0$32.9M
    Western New York Bloodcare, Inc.NYClinic/Center$1.3K$12.6K

    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 York Distribution
    Gil Wolfe — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Gil Wolfe — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York