Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSamuel Ganz
    Ask Trek AI about this page

    Samuel Ganz — Billing Profile & Reimbursement Data

    NPI 1447591714 · Delray Beach, FL · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Samuel Ganz — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Samuel Ganz is a internal medicine physician provider located in Delray Beach, Florida. 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSamuel Ganz
    Address4800 Linton Blvd Ste F107
    CityDelray Beach
    StateFL
    ZIP33445
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 11, 2013

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

    Payer SourceTotal Paid
    Medicare$5.3M
    Medicaid$0

    Key Findings

    Provider profile and payor scale: SAMUEL GANZ, an Internal Medicine physician in DELRAY BEACH, FL, has been NPI-enumerated since 2013-03-11 (~13 years ago) and reports $5.3M in lifetime Medicare revenue with none for Medicaid (no Medicaid billing on file). This makes the practice effectively single-payer (Medicare-focused) in the available claims data, concentrating commercial risk and revenue exposure in the Medicare program.

    Revenue concentration in Medicare: this provider’s top three Medicare codes—J3241 ($2.1M, 39.5% of Medicare revenue), J1306 ($907.4K, 17.3%), and J0897 ($656.6K, 12.6%)—together account for 69.4% of total Medicare revenue. That level of concentration indicates the practice derives the bulk of its Medicare receipts from a small set of high-value injectable biologic/drug administration codes.

    Service-line implications: the dominant codes (J3241, J1306, J0897) and additional administration codes (96401 $60.8K; 96413 $37.8K; 96365 $14.9K) indicate an operation oriented to in-office parenteral therapy and specialty injectable drug delivery rather than purely eval-and-management clinic visits. The presence of multiple chemotherapy/infusion administration codes alongside high-revenue injectable drug codes suggests infrastructure for frequent on-site injections or infusions and nursing/infusion workflows.

    Competitive standing on inclisiran (J1306): the provider is a national outlier for J1306, with $907.4K revenue, ranking #2 of 462 providers nationally and described as an "extreme outlier, far above typical national volume for this code." This rank implies the practice is a major national administrator of this specific drug relative to peers and likely a referral destination for patients needing that therapy.

    Competitive standing on denosumab (J0897) and teprotumumab (J3241): for J0897 the provider reports $656.6K and ranks #59 of 10057 (99th percentile; "extreme outlier, far above typical national volume"), indicating a very strong national position for denosumab administration. By contrast, J3241 accounts for $2.1M but ranks #4 of 6 (40th percentile; "typical, unremarkable volume"), so despite high absolute revenue from J3241 this provider is not a high-volume national leader for that particular code relative to a very small national cohort.

    Other statistical signals: the practice shows unusually high relative activity for chemotherapy administration code 96401 ($60.8K, rank #65 of 3868; 98th percentile; "extreme outlier") and above-typical volume for romosozumab J3111 ($579.6K, rank #32 of 970; 97th percentile; "notably above typical national volume"). These elevated percentiles across multiple administration codes reinforce that this provider operates at significantly higher-than-typical volumes for in-office drug administration compared with national peers.

    Payor mix and contracting implications: with $5.3M in Medicare revenue and no Medicaid on file, the provider is effectively Medicare-dependent in the available claims record; that concentration suggests negotiations, reimbursement risk, and growth strategies should be evaluated primarily in the context of Medicare rates and specialty drug reimbursement policies. The absence of Medicaid activity also implies limited exposure to state Medicaid formularies and rates, which could affect pricing leverage and patient population mix.

    Operational and referral implications: the combination of extreme national standing on select biologic injections (J1306, J0897) and high-volume administration codes suggests the practice may function as a regional or national referral center for specialty injectable therapies, with established supply-chain and infusion capabilities. However, variability in rank across drugs (extreme outlier for some, typical for others) indicates the practice’s dominance is drug-specific rather than uniformly across all specialty injectables.

    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
    J3241Injection, teprotumumab-trbw, 10 mg8,290$250$2.1M
    J1306Injection, inclisiran, 1 mg100,820$10$907.4K
    J0897Injection, denosumab, 1 mg36,480$20$656.6K
    J3245Injection, tildrakizumab, 1 mg5,900$110$649K
    J3111Injection, romosozumab-aqqg, 1 mg72,450$10$579.6K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)2,930$30$99.5K
    J1745Injection, infliximab, excludes biosimilar, 10 mg3,430$30$89.2K
    J0174Lecanemab-irmb, for intravenous injection, 1 mg61,000$1$61K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.1,030$60$60.8K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…360$110$37.8K

    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
    J32411106,350$250$1.6M
    J32454204,000$110$498.6K
    J01291161309,350$30$386.8K
    J3111314016,170$10$166.4K
    J13061508,800$10$115.1K
    J089761,0603,290$20$106.5K
    J1745361202,060$30$80.9K
    J017441061,060$1$68.2K
    96413201730200$100$26.1K
    Q013816927033,410$1$16.9K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wayne Memorial Community Health CentersPAFederally Qualified Health Center (FQHC)$0$17.1M
    Wayne Memorial Community Health CentersPAFederally Qualified Health Center (FQHC)$0$10.5M
    Abdalla SholiPAHematology & Oncology Physician$134.2K$3.2K
    Sean McveighPAPulmonary Disease Physician$108.8K$0
    Ramesh PanditDEInternal Medicine Physician$83.1K$0
    Mehran Hamzeh LangroudiDEObstetrics & Gynecology Physician$7K$64.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ambassador Health Services IncFLHome Health Agency$0$14.7M
    Etan MarksFLDermatopathology (Pathology) Physician$2.7M$0
    Genetics Institute Of America Laboratory Fl1 CorpFLClinical Medical Laboratory$2.3M$0
    The Outpatient Center, LLCFLAmbulatory Surgical Clinic/Center$1.8M$0
    Delray Beach Asc, LLCFLAmbulatory Surgical Clinic/Center$1.6M$0
    Kimberly BalshiFLNurse Practitioner$1.3M$0
    Jason RosenFLDermatopathology Physician$1.1M$0
    Aaron WeissFLGastroenterology Physician$948.1K$0
    Morris NausFLGastroenterology Physician$866.2K$0
    Lianne CavellFLGastroenterology Physician$514.8K$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. Florida Distribution
    Samuel Ganz — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida