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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGavin Gore
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    Gavin Gore — Billing Profile & Reimbursement Data

    NPI 1316189608 · Leesburg, VA · Diagnostic Radiology Physician

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    Gavin Gore is a diagnostic radiology physician provider located in Leesburg, Virginia. This profile covers 59 Medicare and 1 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
    OrganizationGavin Gore
    Address19500 Sandridge Way, Suite 420
    CityLeesburg
    StateVA
    ZIP20176
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 1, 2009

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

    Payer SourceTotal Paid
    Medicare$608.4K
    Medicaid$240

    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.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…160$1,490$235.4K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie40$3,860$150.7K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.230$150$34.7K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…190$160$30.4K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.200$150$29.1K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…20$1,330$19.9K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.80$160$12.5K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries130$80$10.4K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.170$60$10.4K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.310$30$8.8K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9595810120$540$325.9K
    788153613080$410$55.5K
    A9552103090$150$23.7K
    78816476030$480$19K
    74177243590150$80$15.1K
    7055322626060$120$14.9K
    721485935080$90$10K
    737211621050$100$9.3K
    70450185570200$30$7.9K
    9388037842060$80$7.9K

    Showing 1–10 of 59

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…30$10$230

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…355460150$10$43.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Loudoun Medical Group, PCVAInternal Medicine Physician$0$12.4M
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Kyrollos TawfikMDVascular & Interventional Radiology Physician$1.1M$0
    Richard KimVAInternal Medicine Physician$983K$0
    Ayman BoutrosVAOphthalmology Physician$964.5K$0
    Aizenhawar MarrogiVAAnatomic Pathology & Clinical Pathology Physician$756.9K$0
    Marena PatronasVAOphthalmology Physician$744.9K$0
    Van HaVADermatology Physician$547.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$46.9M
    County Of Loudoun, VirginiaVAMental Health Clinic/Center (Including Community Mental Health Center)$0$34.9M
    Commonwealth Emergency Physicians PCVAEmergency Medicine Physician$0$12M
    Amor Home Health Care LLCVAHome Health Agency$0$9.6M
    Minuteclinic Diagnostic Of Virginia LLCVAFamily Nurse Practitioner$0$9M
    Northspring Behavioral Healthcare, Inc.VAPsychiatric Residential Treatment Facility$0$7.8M
    Inova Loudoun Ambulatory SurgeryVAAmbulatory Surgical Clinic/Center$1.3M$82.6K
    Ajay DarVAMedical Oncology Physician$1.3M$0
    Rangappa RajendraVAMedical Oncology Physician$1.3M$0
    Xiaoping ZhouVAAnatomic Pathology & Clinical Pathology Physician$968.4K$59.3K

    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. Virginia Distribution
    Gavin Gore — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Gavin Gore — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia