Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSamuel Gibson
    Ask Trek AI about this page

    Samuel Gibson — Billing Profile & Reimbursement Data

    NPI 1386840742 · Madison, WI · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Samuel Gibson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Samuel Gibson is a diagnostic radiology physician provider located in Madison, Wisconsin. This profile covers 70 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSamuel Gibson
    Address700 S Park St
    CityMadison
    StateWI
    ZIP53715
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 22, 2007

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

    Payer SourceTotal Paid
    Medicare$241.9K
    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.

    70 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…500$130$63.7K
    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.190$90$17.3K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.180$80$13.7K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.120$100$12.5K
    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.320$30$9.6K
    72158In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.40$160$6.6K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…180$40$6.4K
    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…530$10$6.3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.100$60$5.7K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…180$30$5.2K

    Showing 1–10 of 70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 70 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    70 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788159017030$260$15.5K
    77067227500140$60$14.5K
    7417799550100$70$8.5K
    77063224480150$30$8.2K
    70553124050$100$7.1K
    7045054530120$30$4.6K
    721482931040$70$3.9K
    7127517949040$60$3.5K
    7417620750040$60$3.4K
    7125012746050$40$3.2K

    Showing 1–10 of 70

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dean Health Systems, IncWIAllergy & Immunology Physician$0$26.3M
    Southwest Health Center, IncWICritical Access Hospital$225.5K$8.3M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$2M$856.3K
    Infinity Healthcare Physicians, S.c.WIEmergency Medicine Physician$0$2.5M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$1.8M$750K
    Southwest Health Center, Inc.WIRural Health Clinic/Center$0$2.3M
    Radiology Associates Of The Fox Valley, ScWIDiagnostic Radiology Physician$0$2.1M
    Amol KulkarniWIOphthalmology Physician$2.1M$0
    Mitchell WolfWIOphthalmology Physician$1.6M$0
    James BellWIOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Meriter Hospital, Inc.WIGeneral Acute Care Hospital$0$25.5M
    Ssm Health Care Of Wisconsin, Inc.WIGeneral Acute Care Hospital$0$14.7M
    Ssm Health Care Of Wisconsin, IncWIClinical Medical Laboratory$0$6.4M
    Madison Surgery Center, Inc.WIAmbulatory Surgical Clinic/Center$3.6M$549.2K
    Ryan Bros Ambulance LLCWILand Ambulance$1.5M$2.3M
    Madison Emergency Physicians, ScWIEmergency Medicine Physician$0$3.2M
    Emergency Medicine Associates Of Madison, ScWIEmergency Medicine Physician$0$2.1M
    Meriter Health Enterprises Inc.WIClinical Medical Laboratory$680.6K$1M
    Michelle LaknerWINurse Practitioner$660.9K$0
    Lisa LepeakWIHematology & Oncology Physician$488.3K$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. Wisconsin Distribution
    Samuel Gibson — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin