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    OpenPayerNPI Medicare & MedicaidFady Gerges
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    Fady Gerges — Billing Profile & Reimbursement Data

    NPI 1437211315 · Dover, DE · Anatomic Pathology Physician

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    Fady Gerges is a anatomic pathology physician provider located in Dover, Delaware. This profile covers 19 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
    OrganizationFady Gerges
    Address1633 Sorghum Mill Rd
    CityDover
    StateDE
    ZIP19901
    TaxonomyAnatomic Pathology Physician
    NPI EnumeratedDecember 15, 2006

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

    Payer SourceTotal Paid
    Medicare$906.3K
    Medicaid$0

    Key Findings

    This provider’s Medicare work is concentrated in anatomic and surgical pathology: the three highest-revenue codes are 88305 ($185.5K revenue, 3.5K claims, $53 avg paid/claim), 88341 ($170.7K revenue, 2.8K claims, $61 avg paid/claim) and 88342 ($164.2K revenue, 2.7K claims, $60 avg paid/claim). Those three codes together account for 57.4% of this provider’s total Medicare revenue, indicating the practice is largely driven by level IV surgical pathology examinations and immunohistochemistry procedures rather than broad primary-care or ambulatory services.

    Overall scale and payer mix are highly Medicare-centric: total Medicare revenue is $906.3K while Medicaid billing is effectively zero (none — no Medicaid billing on file). This makes the provider functionally a single-payer (Medicare) operation in the available data, so analyses of volume and capacity should focus on Medicare-driven pathology workflows rather than Medicaid volumes.

    Competitive standing on specialty tests is mixed: 88342 ranks #69 of 11370 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 88341 ranks #68 of 10274 providers nationally (99th percentile; notably above typical national volume for this code), which signals unusually high national throughput for immunohistochemistry services. By contrast 88305 is at rank #922 of 14580 (94th percentile; typical, unremarkable volume for this code), meaning surgical pathology volume is solid but not as extreme as the IHC activity.

    Service-line implications from the code mix point to a lab that performs both diagnostic surgical pathology and a high volume of ancillary IHC stains: heavy counts of 88341 and 88342 (2.8K and 2.7K claims respectively) paired with substantial 88305 volume suggest an operation structured to run many immunostains per surgical case or handle a large caseload of tumor/prognostic panels. Significant revenue from codes like 88313 (1.9K claims, $107K revenue; ranks notably above typical) and 88312 ($37.6K; 423 claims) further supports a high-throughput histology and special-stain workflow.

    Presence of intraoperative and cytopathology services is notable: 88331 (537 claims, $43K revenue) ranks #44 of 4659 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), indicating the provider reports substantial frozen section or intraoperative consultation activity. Cytology-related codes such as 88112 (1.7K claims, $52.6K revenue) also rank in the 99th percentile (notably above typical), pointing to significant cytopathology throughput alongside surgical pathology.

    Pandemic-era molecular testing shows a measurable but secondary role: U0004 generated $75.1K revenue (1K claims, 8.3% of Medicare revenue) and ranks #54 of 259 providers nationally (79th percentile; typical, unremarkable volume for this code), indicating COVID PCR testing contributed meaningfully to Medicare revenue at peaks but did not displace core pathology services. Other molecular/NAAT codes (87635, 87798) appear at much smaller revenue shares and lower ranks, consistent with a primary focus on histology and IHC.

    Revenue concentration creates operational sensitivity: with the top three Medicare codes accounting for 57.4% of Medicare revenue, fluctuations in surgical pathology or immunohistochemistry demand—or changes in reimbursement for 88305/88341/88342—could materially affect overall revenue. Analysts and contracting teams should prioritize monitoring utilization and pricing trends for these specific codes when assessing financial risk or negotiating network agreements.

    The provider has an established tenure in Medicare: NPI enumerated on 2006-12-15 (~20 years ago), which supports interpreting current high-volume IHC and intraoperative patterns as sustained specialty activity rather than a transient reporting spike. Given long enrollment and repeated high national percentiles on several specialty codes, this appears to be a mature pathology practice with entrenched diagnostic workflows.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…3,500$50$185.5K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…2,800$60$170.7K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…2,740$60$164.2K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…1,880$60$107K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…1,020$70$75.1K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…1,700$30$52.6K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…540$80$43K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…420$90$37.6K
    88323A qualified provider, typically a pathologist, provides consultation and a report on referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case…200$90$17.5K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method110$150$16K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00042101,020$70$228K
    G04831410230$240$118.8K
    877981620700$30$59.6K
    88305240740$40$45.2K
    88341130450$30$20.3K
    88323110200$90$17.5K
    88342140240$40$14K
    8833123050$70$8.7K
    88173172060$70$8.5K
    88312220100$50$7.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ctm Medical Associates LLCDESurgery Physician$0$1.9M
    Jason SchoenfeldPAMOHS-Micrographic Surgery Physician$743.7K$528.9K
    Doctors Pathology Services, IncDEAnatomic Pathology Physician$0$1M
    Thomas HuebnerMDAnatomic Pathology & Clinical Pathology Physician$939.5K$0
    Patrick SwierDEPlastic Surgery Physician$520.7K$0
    Mohamed AhmedMDPain Medicine (Anesthesiology) Physician$367.4K$0
    Venkataraman SukumarDEAnatomic Pathology & Clinical Pathology Physician$331.1K$0
    Semaan AbboudDEInternal Medicine Physician$202.9K$0
    Paige VenablesDEPhysician Assistant$189K$0
    Fabricio AlarconDEInternal Medicine Physician$157K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$79.3M
    Bayhealth Emergency Physicians LLCDEEmergency Medicine Physician$0$16.7M
    Ahl And O'connor Orthodontics, LLCDEOrthodontics and Dentofacial Orthopedics Dentistry$0$12.5M
    Bayhealth Medical Center, IncDEColon & Rectal Surgery Physician$0$12.4M
    State Of DelawareDEMental Health Clinic/Center (Including Community Mental Health Center)$0$8.2M
    The Children's Secret GardenDEMedically Fragile Infants and Children Day Care$0$8.1M
    Apogee Medical Group, Delaware, IncDEInternal Medicine Physician$0$7.9M
    First State Oral And Maxillofacial Surgery CorpDEOral and Maxillofacial Surgery (Dentist)$0$5M
    Jamie AhlDEOrthodontics and Dentofacial Orthopedics Dentistry$0$4.9M
    Kent Diagnostic Radiology Associates PADEDiagnostic Radiology Physician$0$4.6M

    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. Delaware Distribution
    Fady Gerges — 8 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware