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    OpenPayerNPI Medicare & MedicaidGerald Hamilton
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    Gerald Hamilton — Billing Profile & Reimbursement Data

    NPI 1306831375 · Lenexa, KS · Surgery Physician

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    Gerald Hamilton is a surgery physician provider located in Lenexa, Kansas. This profile covers 21 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
    OrganizationGerald Hamilton
    Address23401 Prairie Star Pkwy
    CityLenexa
    StateKS
    ZIP66227
    TaxonomySurgery Physician
    NPI EnumeratedSeptember 15, 2005

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

    Payer SourceTotal Paid
    Medicare$2.3K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$40$640
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…10$30$320
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.10$10$140
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…10$10$140
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…10$10$110
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$10$90
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.10$10$70
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…10$10$70
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.10$10$60
    82247The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.10$10$60

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8230615316040$30$27.1K
    80061286290100$10$17.5K
    82728919030$10$9K
    992134,0464,33090$50$8.7K
    84155710260$1$8.5K
    85027818090$10$7.4K
    83540687040$10$6.7K
    364151,0801,090150$10$6.3K
    8303649951060$10$5.1K
    8224781080$1$4.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ravindran SabapathyKSPsychologist$34.6K$0
    Robert AragonKSSurgery Physician$32.5K$0
    Michelle CokerKSClinical Psychologist$15.6K$0
    Stanley HoehnKSSurgery Physician$9.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Willowtree Supports IncKSDevelopmentally Disabled Services Day Training Agency$0$7M
    Shawnee Mission Prairie Star Surgery Center LLCKSAmbulatory Surgical Clinic/Center$232.9K$61.5K
    Jessica YoakamKSFamily Medicine Physician$194.2K$0
    Brooks YoungKSFoot & Ankle Surgery Podiatrist$63.8K$0
    Timothy MahoneyKSPhysical Therapist$43.3K$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.

    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. Kansas Distribution
    Gerald Hamilton — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas