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    OpenPayerNPI Medicare & MedicaidAbhijit Gundale
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    Abhijit Gundale — Billing Profile & Reimbursement Data

    NPI 1417435611 · Jacksonville, FL · Plastic Surgery within the Head & Neck (Otolaryngology) Physician

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    Abhijit Gundale is a plastic surgery within the head & neck (otolaryngology) physician provider located in Jacksonville, Florida. This profile covers 7 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
    OrganizationAbhijit Gundale
    Address653 W 8th St
    CityJacksonville
    StateFL
    ZIP32209
    TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
    NPI EnumeratedJuly 31, 2018

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

    Payer SourceTotal Paid
    Medicare$30.9K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…150$80$11.7K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.90$80$7.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$40$3.3K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.20$130$2.7K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.100$30$2.5K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…70$40$2.4K
    69200The provider removes a foreign body from the external auditory canal without the use of general anesthesia.10$60$740

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3123115952090$140$24.5K
    315754757060$90$8.6K
    9920326811,72040$70$4.4K
    692101161,07040$30$4.3K
    992126076,92040$40$2.9K
    6920074020$60$2.2K
    99202631,45020$40$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Clinical Practice Association IncFLSurgery Physician$0$79.3M
    University Of Florida Jacksonville Physicians, Inc.FLInternal Medicine Physician$0$41.4M
    Mcalester Regional Health Center AuthorityOKRural Acute Care Hospital$0$10.1M
    Mcalester Medical Services, LLCOKInternal Medicine Physician$0$2.9M
    Larry WilfFLNuclear Radiology Physician$1.2M$0
    Fernando KafieFLVascular Surgery Physician$723.1K$0
    Mansoor MughalFLOphthalmology Physician$432.4K$41.5K
    Felice EspositoPADiagnostic Radiology Physician$153.2K$212.3K
    Sean DoyleOKUrology Physician$359.4K$0
    Tyler CampbellRIDiagnostic Radiology Physician$252K$100.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shands Jacksonville Medical Center IncFLGeneral Acute Care Hospital$0$75.1M
    Carlene GentlesFLDiagnostic Radiology Physician$1.3M$0
    Lindsay ChandlerFLFoot & Ankle Surgery Podiatrist$344.4K$0
    Aditya SainiFLClinical Cardiac Electrophysiology Physician$332.5K$0
    Amanda KentFLDiagnostic Radiology Physician$203K$0
    Ambar PatelFLCardiovascular Disease Physician$174.8K$0
    Dalys HaymesFLDiagnostic Radiology Physician$166.1K$0
    Martin ZenniFLInterventional Cardiology Physician$117.2K$0
    Robert KimFLClinical Cardiac Electrophysiology Physician$114.1K$0
    Ira HarmonFLSpecialist$98.8K$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. Florida Distribution
    Abhijit Gundale — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida