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    OpenPayerNPI Medicare & MedicaidRussell Gilbert
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    Russell Gilbert — Billing Profile & Reimbursement Data

    NPI 1417918798 · Honolulu, HI · Critical Care Medicine (Internal Medicine) Physician

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    Russell Gilbert is a critical care medicine (internal medicine) physician provider located in Honolulu, Hawaii. This profile covers 10 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
    OrganizationRussell Gilbert
    Address1301 Punchbowl Street
    CityHonolulu
    StateHI
    ZIP96813
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedMarch 28, 2006

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

    Payer SourceTotal Paid
    Medicare$16.2K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…120$60$7.8K
    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$110$3K
    94621The provider performs complex cardiopulmonary exercise testing (CPET) to evaluate the heart and lung function. The procedure includes measuring minute ventilation (the volume of gas exhaled). Minute…20$50$1.1K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…120$10$1K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…130$10$1K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.130$10$920
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$40$760
    94618The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.20$20$270
    94200The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…80$1$150
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…10$10$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9923212339070$60$8.6K
    992226321020$100$3.1K
    99231749040$40$2.3K
    9462111020$50$1.1K
    9472622020$20$730
    9472922030$20$720
    9461811020$20$270
    9406012020$10$260
    9472741020$10$220
    9420011080$1$160

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Queens North Hawaii Community HospitalHIGeneral Acute Care Hospital$0$13M
    Patrick GonzalesCAVascular & Interventional Radiology Physician$2.7M$0
    Vivek KesariMDNuclear Medicine Physician$1.4M$0
    Patrick RyanCADiagnostic Radiology Physician$722.4K$0
    Queen's North Hawaii Community HospitalHIGeneral Practice Physician$0$642K
    Edwin HerdHIPediatrics Physician$0$640.5K
    Queen's North Hawaii Community HospitalHIObstetrics & Gynecology Physician$0$622.5K
    Sunil GandhiCADiagnostic Radiology Physician$551.9K$0
    Faisal ShahNYDiagnostic Radiology Physician$245.2K$259.8K
    Nicholas VuCTDiagnostic Radiology Physician$472.5K$1.7K

    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. Hawaii Distribution
    Russell Gilbert — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii