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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGerald Falchook
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    Gerald Falchook — Billing Profile & Reimbursement Data

    NPI 1366541294 · Denver, CO · Medical Oncology Physician

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    Gerald Falchook is a medical oncology physician provider located in Denver, Colorado. This profile covers 11 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
    OrganizationGerald Falchook
    Address1800 Williams St
    CityDenver
    StateCO
    ZIP80218
    TaxonomyMedical Oncology Physician
    NPI EnumeratedSeptember 21, 2006

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

    Payer SourceTotal Paid
    Medicare$73.2K
    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.

    11 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…210$140$29.7K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…240$110$25.7K
    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…50$100$5.1K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…210$20$4.7K
    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…30$130$3.7K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…210$10$2.6K
    96360The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.30$30$890
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.40$10$350
    J7030Infusion, normal saline solution , 1000 cc40$1$80
    J1200Injection, diphenhydramine hcl, up to 50 mg60$1$60

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9641354140130$100$19.7K
    992145,2458,16080$80$11.3K
    992152203,23040$110$8.1K
    992041,7613,67030$110$4.7K
    964151011080$20$2.2K
    963752290100$10$1.8K
    96360164030$30$1.1K
    96361124030$10$320
    J7030246030$1$110
    J110063220380$1$80

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert JotteCOHematology & Oncology Physician$702.1K$0
    Richard NashCOHematology & Oncology Physician$504.1K$0
    Henning SchadeCOHematology & Oncology Physician$483.4K$0
    Michael MarisCOHematology & Oncology Physician$480.2K$0
    Marcello RottaCOHematology & Oncology Physician$475.2K$0
    Tara GregoryCOHematology & Oncology Physician$420.5K$0
    Jeffrey MatousCOHematology & Oncology Physician$417K$0
    Alireza EghtedarCOHematology & Oncology Physician$414.3K$0
    Michael TeesCOHematology & Oncology Physician$394K$0
    Luke MountjoyCOHematology & Oncology Physician$279.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Healthone LLCCOGeneral Acute Care Hospital$0$13.3M
    Saint Joseph Hospital, IncCOGeneral Acute Care Hospital$0$12M
    P2p Recovery ResourcesCOSubstance Use Disorder Rehabilitation Clinic/Center$0$8.6M
    Obstetrix Medical Group Of Colorado P CCONeonatal-Perinatal Medicine Physician$0$7.8M
    Eric S Yaeger Md PCCOHospitalist Physician$0$3.7M
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Ioana HinshawCOHematology & Oncology Physician$2.7M$0
    Sj East Campus Asc, LLCCOAmbulatory Surgical Clinic/Center$1.1M$0
    Michele BascheCOHematology & Oncology Physician$854K$0
    Allen CohnCOHematology & Oncology Physician$610.9K$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. Colorado Distribution
    Gerald Falchook — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado