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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Gibbens
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    Douglas Gibbens — Billing Profile & Reimbursement Data

    NPI 1447247382 · Toms River, NJ · Diagnostic Radiology Physician

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    Douglas Gibbens is a diagnostic radiology physician provider located in Toms River, New Jersey. This profile covers 54 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
    OrganizationDouglas Gibbens
    Address99 Highway 37
    CityToms River
    StateNJ
    ZIP08755
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedOctober 5, 2005

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

    Payer SourceTotal Paid
    Medicare$348.2K
    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…320$210$68.8K
    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…450$140$62.9K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…230$130$29.1K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…200$100$20.1K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.570$30$18.7K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…190$90$17K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…100$110$11.6K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.140$70$10.2K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…110$70$7.9K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…80$100$7.5K

    Showing 1–10 of 54

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    54 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177209610100$100$14.4K
    93241394030$230$12.3K
    93925943030$180$10.8K
    7700210414030$100$10.2K
    9388049388040$130$10.2K
    7055133434070$90$9.8K
    7664121825050$80$9.5K
    7045072560190$30$9.3K
    7125048862090$60$8.5K
    7417620760070$80$8K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    The New Jersey Imaging Network, LLCNJRadiology Clinic/Center$0$41.2M
    University Radiology Group, LLCNJDiagnostic Radiology Physician$0$33.8M
    Atlanticare Physician Group PANJClinic/Center$0$27.1M
    Rwjbh Observation Associates LLCNJEmergency Medicine Physician$0$15.9M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Dennis KwonNJVascular & Interventional Radiology Physician$2.7M$0
    Lev PukinNYVascular & Interventional Radiology Physician$2.5M$11.3K
    Roel GalopeNJSpecialist$1.9M$0
    Jasminka BalderacchiNYAnatomic Pathology & Clinical Pathology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Center IncNJGeneral Acute Care Hospital$0$88.3M
    Preferred Behavioral Health Of NjNJCommunity/Behavioral Health Agency$0$18.3M
    Community Surgical Supply Of Toms River LLCNJOxygen Equipment & Supplies (DME)$0$17M
    Spring Oak Of Toms River Alp LLCNJAssisted Living Facility$0$10.1M
    Magnolia Gardens South LPNJAssisted Living Facility$0$8.1M
    Jersey Innovative Services LLCNJCommunity/Behavioral Health Agency$0$7.9M
    The Residence At Lakeridge LLCNJAssisted Living Facility$0$7.6M
    Ocean County Eye Associates LLCNJAmbulatory Surgical Clinic/Center$3.4M$0
    Mohammedyusuf HajeeNJRetina Specialist (Ophthalmology) Physician$2.6M$0
    Haris AminNJRetina Specialist (Ophthalmology) Physician$2.1M$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. New Jersey Distribution
    Douglas Gibbens — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey