Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kevin Gaylord (NPI 1235122656)

Field	Value
Entity Type	Individual
Organization	Kevin Gaylord
Address	1520 Physicians Dr
City	Wilmington
State	NC
ZIP	28401
Taxonomy	Gastroenterology Physician
NPI Enumerated	August 31, 2005

Payer Source	Total Paid
Medicare	$144.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The 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…	250	$130	$32.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	240	$90	$21.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	70	$200	$14.7K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	90	$130	$10.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	140	$70	$9.3K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	40	$170	$6.6K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	40	$110	$4.9K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	40	$130	$4.9K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	$170	$4.7K
43274	The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…	10	$300	$4.2K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Kevin Gaylord — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	255	560	70	$290	$33.4K
99214	14,302	18,060	110	$80	$15.1K
45380	128	520	40	$180	$13.7K
G0105	102	340	30	$270	$12.4K
43239	87	560	60	$120	$11K
99233	538	4,230	70	$90	$10.1K
43249	51	170	30	$270	$9.7K
43248	37	100	30	$180	$9.2K
43274	33	40	20	$310	$8.3K
99232	3,237	5,690	70	$60	$8.1K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Community Health Services, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.8M
Karrie Grear	NC	Neurology Physician	$1.5M	$0
Robert Wann	NC	Ophthalmology Physician	$1M	$0
Elizabeth Thomas	NC	Rheumatology Physician	$996K	$0
Jeffrey Warhaftig	NC	Internal Medicine Physician	$694.2K	$0
Dean Karras	NC	Internal Medicine Physician	$566.6K	$0
James Adams	NC	Family Medicine Physician	$554.8K	$0
Mary Rudyk	NC	Internal Medicine Physician	$545.3K	$0
Darshan Dave	NC	Internal Medicine Physician	$492.4K	$0
Charles Allen	NC	Internal Medicine Physician	$475K	$0

Kevin Gaylord — Billing Profile & Reimbursement Data

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Kevin Gaylord — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References