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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHemal Gada
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    Hemal Gada — Billing Profile & Reimbursement Data

    NPI 1386852390 · Wormleysburg, PA · Cardiovascular Disease Physician

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    Hemal Gada is a cardiovascular disease physician provider located in Wormleysburg, Pennsylvania. This profile covers 16 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
    OrganizationHemal Gada
    Address1000 N Front St
    CityWormleysburg
    StatePA
    ZIP17043
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 21, 2007

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

    Payer SourceTotal Paid
    Medicare$165.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…130$580$77.3K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…50$460$21.7K
    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…250$90$21.6K
    93456In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with right heart catheterization. He also performs injections to assess any coronary artery…60$230$14.6K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…30$370$9.6K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…100$60$6.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.7K
    93454In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…20$150$2.5K
    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…20$130$2.3K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…140$10$1.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33361115030$590$19.5K
    992145,42223,230100$80$14.5K
    9292810523030$420$12.6K
    3334056020$510$11.8K
    992329,62110,87080$60$9.6K
    992155,6187,17040$120$8.6K
    992393,1003,25060$90$6.6K
    9345410615020$160$5K
    992049,76910,29030$110$5K
    9345619020$230$4.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dlp Conemaugh Memorial Medical Center LLCPAGeneral Acute Care Hospital$0$18.2M
    Pinnacle Health Medical ServicesPAFamily Medicine Physician$0$14.1M
    Adam DuhlNJMaternal & Fetal Medicine Physician$128.8K$1.5M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Straight Line ArlaTXPsychiatry Physician$242.4K$1M
    Amit NanavatiFLInterventional Cardiology Physician$1.2M$0
    Hany ShanoudyPACardiovascular Disease Physician$571.3K$108.8K
    Michael LarkinPACardiovascular Disease Physician$414.1K$192.2K
    Salman LateefPAHospitalist Physician$538.3K$35.1K
    Michael AmponsahAZInterventional Cardiology Physician$534.1K$4.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    J.e.t. Response LLCPALand Ambulance$473.4K$333.1K
    Vinayshree KumarPAMedical Physician Assistant$386.3K$0
    Jeff ConfortiPAPhysical Therapist$317.2K$0
    Alan SweeneyPAInternal Medicine Physician$273.1K$0
    Kunal BodiwalaPACardiovascular Disease Physician$98.2K$47.1K
    Dean LehmanPAMedical Physician Assistant$139.5K$0
    Brian HirshPAPulmonary Disease Physician$129.6K$0
    Joshua HoffmanPAPulmonary Disease Physician$110.3K$0
    Baba LimannPAPulmonary Disease Physician$106.4K$0
    Thach NguyenPACardiovascular Disease Physician$89K$5.7K

    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. Pennsylvania Distribution
    Hemal Gada — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania