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    OpenPayerNPI Medicare & MedicaidMark Gilder
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    Mark Gilder — Billing Profile & Reimbursement Data

    NPI 1356316525 · Millburn, NJ · Colon & Rectal Surgery Physician

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    Mark Gilder is a colon & rectal surgery physician provider located in Millburn, New Jersey. This profile covers 14 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
    OrganizationMark Gilder
    Address231 Millburn Ave
    CityMillburn
    StateNJ
    ZIP07041
    TaxonomyColon & Rectal Surgery Physician
    NPI EnumeratedFebruary 21, 2006

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

    Payer SourceTotal Paid
    Medicare$55.3K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…50$260$13.8K
    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…60$90$5.5K
    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$150$4.7K
    46600The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…40$110$4.4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$200$4.3K
    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…40$100$4K
    99203The provider sees a new 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 provider…40$80$3.4K
    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…20$180$3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk10$190$2.7K
    99204The provider sees a new 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 provider…20$130$2.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538546356050$320$25.4K
    992149,66013,640130$90$23.6K
    992333,2874,270110$100$22.5K
    G010523828030$320$13.9K
    9921311,53914,090100$70$13.1K
    46221104030$240$12.2K
    992152,9953,75040$140$12K
    992233,2574,98050$140$11.8K
    992045,1687,16040$130$6.5K
    992051,4021,97030$170$6.5K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Barnabas Health Medical Group PCNJSpecialist$0$40M
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Bruce SchainkerNJCytopathology Physician$898.7K$910
    Peter FarrugiaNJCardiovascular Disease Physician$848.3K$0
    Anshu GargNJCardiovascular Disease Physician$759.9K$0
    Isaac TawfikNJInterventional Cardiology Physician$714.3K$0
    Horace TangNYHematology & Oncology Physician$136.5K$543.7K
    Megdad ZaatrehNJNeurology Physician$582.2K$3.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Comprehensive LaboratoryNJClinical Medical Laboratory$882K$2.7M
    Vatsal DoshiNJRetina Specialist (Ophthalmology) Physician$2.2M$130
    Yael MillerNJPediatrics Physician$1.2M$0
    Boleslav KotlyarNJRetina Specialist (Ophthalmology) Physician$958.1K$0
    Patrick CoadyNJOphthalmology Physician$728.9K$0
    Yatinder BainsNJGastroenterology Physician$194.2K$435.4K
    Short Hills Surgery Center, LLCNJAmbulatory Surgical Clinic/Center$504.1K$0
    Jeanine DalyNJDermatology Physician$241.4K$0
    Eric SiegelNJDermatology Physician$219.6K$0
    Silvio QuagliaNJAdolescent Medicine (Internal Medicine) Physician$215.1K$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. New Jersey Distribution
    Mark Gilder — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey