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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRandy Geldmacher
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    Randy Geldmacher — Billing Profile & Reimbursement Data

    NPI 1437348679 · Richland, WA · Gastroenterology Physician

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    Randy Geldmacher is a gastroenterology physician provider located in Richland, Washington. This profile covers 17 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
    OrganizationRandy Geldmacher
    Address1270 Lee Blvd Ste A
    CityRichland
    StateWA
    ZIP99352
    TaxonomyGastroenterology Physician
    NPI EnumeratedOctober 23, 2007

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

    Payer SourceTotal Paid
    Medicare$117.3K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…170$200$33.5K
    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…150$90$13.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.250$50$13K
    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…90$100$8.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…80$90$7.2K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.70$90$5.8K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$140$5.6K
    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…40$130$4.8K
    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…40$130$4.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$180$4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453855338070$290$31K
    4538014137060$190$16.4K
    992143,86110,860100$80$13.6K
    992332,2242,42060$90$10.4K
    G010511722030$280$10.2K
    432391737060$120$9.3K
    992152,1894,32040$120$8.4K
    992322,1983,10070$60$7.5K
    992137,7059,69060$60$6.5K
    4325182020$310$6.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kadlec Regional Medical CenterWAGeneral Acute Care Hospital$0$151.5M
    Guy JonesNVRadiation Oncology Physician$2.5M$0
    Kadlec Regional Medical CenterWAAmbulatory Surgical Clinic/Center$571.3K$815.5K
    Sherry ZhaoWARadiation Oncology Physician$1.3M$0
    Kadlec Regional Medical CenterWAAmbulatory Surgical Clinic/Center$231.7K$158.7K
    Glen ZuroskeWACardiovascular Disease Physician$372.5K$0
    Fareed ArifWANephrology Physician$369.2K$0
    Melvin WahlWAOrthopaedic Surgery of the Spine Physician$327.4K$0
    Sarena SlootWANurse Practitioner$307.9K$0
    Joshua BalesWAOrthopaedic Surgery Physician$304.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gill, Ritchie, Walker PLLCWAAmbulatory Surgical Clinic/Center$0$10.7M
    City Of RichlandWAAmbulance$679.8K$7.8M
    Ortc, LLCWAMethadone Clinic$0$6.2M
    Health First Urgent Care, PLLCWAUrgent Care Clinic/Center$0$5.2M
    American Medical Response Ambulance Service IncWAAmbulance$1.1M$3M
    Total Renal Care IncWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.8M
    Tri-city Orthodontics, LLCWAOrthodontics and Dentofacial Orthopedics Dentistry$0$2.9M
    Alexey RyskinWAPain Medicine (Anesthesiology) Physician$2.3M$990
    Sidney SmithWADermatology Physician$2.1M$0
    Cheryl LeeWAOphthalmology Physician$1.5M$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. Washington Distribution
    Randy Geldmacher — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington