Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Armed Forces Pacific (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Blaed Gerhart (NPI 1437593209)

Field	Value
Entity Type	Individual
Organization	Blaed Gerhart
Address	1 Farenholt St
City	Fpo
State	AP (Armed Forces Pacific)
ZIP	96538
Taxonomy	Physician Assistant
NPI Enumerated	April 24, 2013

Payer Source	Total Paid
Medicare	$9.9K
Medicaid	$0

Key Findings

This provider has a very small Medicare billing footprint, with total Medicare revenue of $9.9K and no Medicaid billing on file. The absence of any Medicaid claims makes this effectively a single-payer (Medicare) profile in the available data and indicates limited scale in public program billing overall.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider's Medicare revenue. Those codes are 99285 ($5.9K; 59.6% of Medicare revenue), 99284 ($3.9K; 39.0%), and 93042 ($135; 1.4%), which together point to a narrow set of services driving all reported Medicare payments.

The CPT mix (99285 and 99284 for high- and moderate-complexity emergency department E/M visits, plus 93042 for a brief EKG interpretation) is consistent with a practice role in emergency or urgent care settings. Combined with the provider taxonomy of Physician Assistant, the code mix suggests this clinician’s Medicare billing is concentrated in ED/acute care encounters and point-of-care cardiac interpretation rather than broader outpatient primary-care panels.

Utilization metrics are modest: 99285 appears on 48 claims with an average paid per claim of $123, 99284 on 46 claims with $84 average paid, and 93042 on 27 claims with $5 average paid. These claim counts and average payments produce the small overall Medicare revenue and indicate episodic visit-level billing rather than high-volume procedural work.

On national competitive standing, this provider is a modest participant for the described services. 99285 ranks #45011 of 61347 (26th percentile; typical, unremarkable volume for this code), 99284 ranks #39376 of 64306 (38th percentile; typical, unremarkable volume for this code), and 93042 ranks #2022 of 3001 (32th percentile; typical, unremarkable volume for this code), so none of the top codes show unusually high national activity by this provider.

The provider’s NPI has been enumerated since 2013-04-24 (~13 years ago), indicating a long-enumerated clinician with a relatively low Medicare billing profile across that tenure. The combination of long enumeration and low Medicare revenue suggests either part-time clinical activity, limited Medicare-eligible patient load, or participation concentrated in non-Medicare payers not reflected in these records.

For payer or provider analysts, the key implications are operational focus and low contracting leverage: small absolute Medicare receipts ($9.9K) and 100.0% revenue concentration in three codes mean this clinician is unlikely to materially impact network capacity for Medicare populations. Given the ED-focused code mix, payers should view this clinician as a low-volume emergency/urgent-care PA for Medicare-covered services and prioritize monitoring or outreach accordingly rather than treating as a high-volume billing outlier.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	50	$120	$5.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	50	$80	$3.9K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	30	$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 3 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Blaed Gerhart — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	5	10	40	$150	$15.7K
99284	4	10	50	$100	$7.4K
93042	1	10	30	$1	$130

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Reynolds	AP (Armed Forces Pacific)	Diagnostic Radiology Physician	$105.1K	$0
Ramona Domen	AP (Armed Forces Pacific)	Certified Registered Nurse Anesthetist	$57.7K	$0
Ik Ahn	AP (Armed Forces Pacific)	Anesthesiology Physician	$31.7K	$0

Blaed Gerhart — Billing Profile & Reimbursement Data

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Blaed Gerhart — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References