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    OpenPayerNPI Medicare & MedicaidJeffery Gardner
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    Jeffery Gardner — Billing Profile & Reimbursement Data

    NPI 1447285903 · Cedar City, UT · Emergency Medicine Physician

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    Jeffery Gardner is a emergency medicine physician provider located in Cedar City, Utah. This profile covers 7 Medicare and 4 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
    OrganizationJeffery Gardner
    Address2151 W Sunset Pointe Dr
    CityCedar City
    StateUT
    ZIP84720
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$82K
    Medicaid$39.9K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The 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.330$140$47.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…100$170$17.2K
    99284The 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.160$90$14K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.30$60$1.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.230$10$1.4K
    93308The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…20$20$300
    76604The provider uses ultrasound to evaluate the pleural spaces for the presence of fluid or masses of the chest, upper back, chest wall, or mediastinum.10$20$240

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285646080$130$12.7K
    992915245030$160$7.8K
    992842749050$80$5.2K
    992835218020$50$1.3K
    930107345080$10$940
    93308456020$20$480
    7660421010$20$290

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The 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.190$130$25.7K
    99284The 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.110$100$11.4K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.50$60$2.7K
    99053The provider renders overnight services at a 24 hour facility.40$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The 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.77160190$70$283.2K
    99284The 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.111190200$50$239.5K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.132190250$40$146.8K
    99053The provider renders overnight services at a 24 hour facility.1320110$1$10

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kingman Healthcare, IncAZGeneral Acute Care Hospital$0$86.1M
    Fremont Emergency Services Scherr LtdNVEmergency Medicine Physician$0$22.9M
    Fremont Emergency Services Scherr LtdNVEmergency Medicine Physician$0$20.9M
    Kingman Healthcare, IncAZSpecialist$0$9.8M
    Fremont Emergency Services Scherr LtdNVEmergency Medicine Physician$0$4.8M
    Battle Mountain General HospitalNVRural Health Clinic/Center$0$1.8M
    Vituity - Nevada Koury & Partners PLLCNVEmergency Medicine Physician$0$1.6M
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    Ryan JonesAZPhlebology Physician$1.1M$0
    Kathleen NaegeleILHematology & Oncology Physician$805.1K$57.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tyler AlbrechtUTPediatric Dentistry$0$2.8M
    Ihc Health Services IncUTMulti-Specialty Clinic/Center$0$1.6M
    Color Country Pediatrics, LLCUTPediatrics Physician$0$1.3M
    Pinnacle Youth Services, IncUTCommunity/Behavioral Health Agency$0$1.3M
    Iron County School DistrictUTLocal Education Agency (LEA)$0$1.3M
    Southern Utah UniversityUTDevelopmentally Disabled Services Day Training Agency$0$1.2M
    Premier Pediatrics LLCUTPediatrics Physician$0$1.1M
    Children's Dental Of Cedar CityUTPediatric Dentistry$0$1.1M
    Robert DowseUTPediatrics Physician$0$867K
    Kirk AndertonUTOrthodontics and Dentofacial Orthopedics Dentistry$0$798.4K

    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. Utah Distribution
    Jeffery Gardner — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Jeffery Gardner — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah