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    David Gilbert — Billing Profile & Reimbursement Data

    NPI 1427024496 · Hanover, PA · Interventional Cardiology Physician

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    David Gilbert is a interventional cardiology physician provider located in Hanover, Pennsylvania. This profile covers 18 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Gilbert
    Address195 Stock St Ste 305
    CityHanover
    StatePA
    ZIP17331
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicare$249.9K
    Medicaid$480

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,010$90$89.5K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…50$640$31.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…150$150$22.6K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral340$60$20.4K
    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…160$120$19.1K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…10$1,280$18K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…70$180$12.3K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…50$140$7.6K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…610$10$6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…40$140$5.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36482172030$1,220$77K
    93229246040$680$65.2K
    933067361,130220$70$19.1K
    9921427023,230100$80$14.5K
    9345827028040$200$8.4K
    9346010415020$280$7.2K
    9388041676050$70$5.4K
    37224111020$290$5.2K
    9920431010,29030$110$5K
    939256937030$90$4.7K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$20$490

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,7418,160210$60$68.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pinnacle Health Medical ServicesPAFamily Medicine Physician$0$14.1M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Henry VenbruxPAAnatomic Pathology & Clinical Pathology Physician$416.5K$18.3K
    Maseer BadePAVascular Surgery Physician$343.6K$0
    Brett RobertsPACardiovascular Disease Physician$231.9K$0
    Andrew DussingerPAUrology Physician$209.4K$1.8K
    Chinmay PatelPACardiovascular Disease Physician$196.9K$4.3K
    Hemal GadaPACardiovascular Disease Physician$165.1K$0
    J. Andre GarabedianPACardiovascular Disease Physician$148.4K$8.4K
    David DellPAFamily Medicine Physician$117.1K$39.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Truenorth Wellness ServicesPACommunity/Behavioral Health Agency$0$11.7M
    Truenorth Wellness ServicesPACommunity/Behavioral Health Agency$0$10.4M
    Emergency Physician Associates Of Pennsylvania, PCPAEmergency Medicine Physician$0$9.8M
    Pinnacle Treatment Centers Pa-vii, LLCPAMethadone Clinic$73.3K$5.7M
    Joshua ShipleyPAHematology & Oncology Physician$739.9K$0
    Hanover Surgicenter, L.L.C.PAAmbulatory Surgical Clinic/Center$695.7K$0
    Zaher SrourPAOtolaryngic Allergy Physician$626.3K$0
    Carl MayPAOphthalmology Physician$336.3K$0
    York Adams Pain Specialists PCPAAmbulatory Surgical Clinic/Center$299.1K$0
    Thomas KellerPAInternal Medicine Physician$297.1K$70

    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
    David Gilbert — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    David Gilbert — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania