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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Gersch
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    Michael Gersch — Billing Profile & Reimbursement Data

    NPI 1326068867 · Hot Springs, AR · Nephrology Physician

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    Michael Gersch is a nephrology physician provider located in Hot Springs, Arkansas. This profile covers 15 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
    OrganizationMichael Gersch
    Address115 Wrights St
    CityHot Springs
    StateAR
    ZIP71913
    TaxonomyNephrology Physician
    NPI EnumeratedJuly 20, 2006

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

    Payer SourceTotal Paid
    Medicare$206.5K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…260$260$67.1K
    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…420$90$36.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…530$60$31K
    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…190$130$23.8K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…70$220$14.3K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…60$160$10.2K
    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…50$120$6.2K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$160$4.3K
    36901The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of…40$110$4K
    93985The provider performs a duplex ultrasound scan of the arteries and veins in both upper extremities to assess vascular supply and venous return in the arm prior to establishing hemodialysis access.20$170$3.6K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960940220$260$57.6K
    3690251020$670$43.3K
    992143,4934,300130$70$18.8K
    99233124960130$90$18.2K
    90961265070$210$17.8K
    992321911,450130$60$14.7K
    9929144561050$160$13.8K
    992231291,17050$120$10.6K
    992133,6704,180100$50$9.6K
    9921529787030$110$8.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arkansas Renal Group PAARAmbulatory Surgical Clinic/Center$605.9K$308.8K
    Drew HeipleARNephrology Physician$282.4K$0
    David DesotoARNephrology Physician$194.5K$70
    Naveen TrehanARNephrology Physician$192.7K$0
    Michael SchonefeldARNephrology Physician$187.4K$0
    Dasaradha UyyalaARNephrology Physician$179.7K$0
    Johnnie HintonARNephrology Physician$175.8K$0
    Divine RibakareCANephrology Physician$88.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rock Dental Arkansas PLLCARDentist$0$128.8M
    Superior Senior CareARIn Home Supportive Care Agency$0$22.5M
    Ouachita Regional Counseling & Mental Health Center, Inc.ARMental Health Clinic/Center (Including Community Mental Health Center)$0$22.4M
    Chi St Vincent Hospital Hot SpringsARGeneral Acute Care Hospital$0$16.4M
    Chi St. Vincent Medical Group Hot SpringsARSpecialist$0$13.8M
    Tlc Home Care Of ArkansasARIn Home Supportive Care Agency$0$7M
    Little Bitty City Therapeutic Services LLCARDevelopmental Disabilities Clinic/Center$0$6.9M
    Healthy Connections IncorporatedARFederally Qualified Health Center (FQHC)$0$5.5M
    Abilities Unlimited Of Hot Springs Ar IncARDevelopmentally Disabled Services Day Training Agency$0$4.9M
    A-o-m-s, PLLCAROral and Maxillofacial Surgery (Dentist)$0$4.2M

    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. Arkansas Distribution
    Michael Gersch — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas