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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGilbert Zoghbi
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    Gilbert Zoghbi — Billing Profile & Reimbursement Data

    NPI 1306856851 · Germantown, TN · Interventional Cardiology Physician

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    Gilbert Zoghbi is a interventional cardiology physician provider located in Germantown, Tennessee. This profile covers 38 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
    OrganizationGilbert Zoghbi
    Address8060 Wolf River Blvd
    CityGermantown
    StateTN
    ZIP38138
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedAugust 8, 2006

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

    Payer SourceTotal Paid
    Medicare$266.5K
    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…540$110$57.8K
    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…610$60$34.2K
    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…280$80$22.4K
    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…150$130$19.5K
    99233The 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…210$90$18.8K
    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…70$260$17.2K
    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…40$370$16.4K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…20$540$13.1K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…90$140$12.4K
    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…70$170$11.4K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33361436040$540$23.6K
    992142,95511,370120$80$16.6K
    9330647590180$60$15.8K
    992335982,63090$90$13.1K
    929282813030$380$12.2K
    992321,2203,990100$60$11.4K
    7845230738070$120$11.2K
    99215362,71040$110$8.3K
    992232523,13040$120$8K
    9921310,70311,03080$50$8K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital-desoto, Inc,MSGeneral Acute Care Hospital$0$41.6M
    Stern Cardiovascular Foundation, IncTNCardiovascular Disease Physician$0$4.7M
    Baptist Memorial Hospital - Crittenden IncARGeneral Acute Care Hospital$0$4.1M
    Shiva NatarajanTNNeurology Physician$611.7K$507.8K
    Steven GubinTNCardiovascular Disease Physician$936.6K$0
    Todd EdwardsTNCardiovascular Disease Physician$837.5K$0
    Mark StrongMSCardiovascular Disease Physician$722.5K$0
    David LanTNClinical Cardiac Electrophysiology Physician$614.4K$0
    Dharmesh PatelMSCardiovascular Disease Physician$612.5K$0
    Frank McgrewTNCardiovascular Disease Physician$597.5K$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. Tennessee Distribution
    Gilbert Zoghbi — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee