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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTimothy Gocke
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    Timothy Gocke — Billing Profile & Reimbursement Data

    NPI 1316359417 · Apo, AP · Internal Medicine Physician

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    Timothy Gocke is a internal medicine physician provider located in Apo, Armed Forces Pacific. This profile covers 1 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. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Gocke
    Address549th Hospital Center
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96271
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 22, 2014

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

    Payer SourceTotal Paid
    Medicare$3.2K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is extremely limited in scale: lifetime Medicare revenue is $3.2K with no Medicaid billing on file, indicating the practice is effectively single-payer (Medicare-only) at the patient mix and billing level. The absence of any Medicaid claims suggests either a patient panel without Medicaid enrollees or billing arrangements that do not submit Medicaid claims.

    Revenue concentration is highly focused: a single code, 99223, accounts for 100.0% of this provider’s reported Medicare revenue. The precomputed share indicates the top revenue-driving services are narrowly concentrated in initial hospital inpatient/observation evaluation and management visits.

    Code-level service mix implies the provider operates primarily in acute inpatient or observation settings rather than outpatient continuity care. The billed code 99223 describes high-complexity initial hospital/observation E/M encounters or encounters requiring at least 75 minutes of total time, which points to involvement in complex inpatient evaluations rather than routine office visits.

    Competitive standing for the billed code is modest nationally: 99223 revenue ranks this provider #93072 of 139583 providers nationally, placing them in the 32th percentile. That percentile and rank characterize the provider as a modest participant for this code nationally rather than a high-volume or dominant provider of high-complexity initial hospital visits.

    Tenure on file is long: the NPI was enumerated on 2014-05-22 (~12 years ago). This duration indicates the provider has had a stable professional registration over roughly a decade despite the small Medicare revenue footprint reflected in the claims data.

    Claim-level intensity shows small volume and modest per-claim payments: 25 claims for 99223 produced an average paid amount of $128 per claim and $3.2K total revenue. These figures reinforce that the provider’s Medicare billing activity is low-volume and concentrated on a single high-complexity hospital E/M code.

    Because the top 3 Medicare codes account for 100.0% of Medicare revenue (with 99223 documented as the revenue source), the provider lacks diversification across Medicare service lines. This concentration creates sensitivity of reported revenue to changes in hospital inpatient/observation billing patterns or coding for that single service type.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$130$3.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9922341040$140$6.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher KolibashWVClinical Cardiac Electrophysiology Physician$425.8K$48K
    Maninder BediWVCardiovascular Disease Physician$416.1K$53.8K
    Sarmad AshfaqPAHospitalist Physician$347K$97K
    Glen MiskeWVClinical Cardiac Electrophysiology Physician$289.3K$950
    George JosephWVClinical Cardiac Electrophysiology Physician$186.7K$0
    Orestis PappasPAInterventional Cardiology Physician$160.2K$470
    Samuel YakishPACardiovascular Disease Physician$113.9K$15.4K
    Marco CavagnaDCClinical Cardiac Electrophysiology Physician$92.3K$20K
    Amr HabbachPANephrology Physician$97.6K$0
    Mandeep SinghPAUrology Physician$60.9K$4.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joon ParkAP (Armed Forces Pacific)Dentist$0$623.9K
    Seong Cho-juAP (Armed Forces Pacific)Clinical Social Worker$0$195K
    Dennis ChungAP (Armed Forces Pacific)General Practice Dentistry$0$51.7K
    Hannah ChoiAP (Armed Forces Pacific)Family Medicine Physician$7.6K$38.6K
    Sang-wahn KooAP (Armed Forces Pacific)Psychiatry Physician$6.9K$0
    Doris NievesAP (Armed Forces Pacific)Physical Therapist$4.2K$0
    Il-gyu ChoAP (Armed Forces Pacific)Child & Adolescent Psychiatry Physician$2.8K$0
    Steve HuynhAP (Armed Forces Pacific)Optometrist$0$1.8K
    Hyun ShimAP (Armed Forces Pacific)Clinical Social Worker$1K$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. Armed Forces Pacific Distribution
    Timothy Gocke — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific