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    OpenPayerNPI Medicare & MedicaidZhenqiang Gao
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    Zhenqiang Gao — Billing Profile & Reimbursement Data

    NPI 1467669259 · Springfield, IL · Anatomic Pathology & Clinical Pathology Physician

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    Zhenqiang Gao is a anatomic pathology & clinical pathology physician provider located in Springfield, Illinois. This profile covers 15 Medicare and 258 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
    OrganizationZhenqiang Gao
    Address701 N 1st St
    CitySpringfield
    StateIL
    ZIP62702
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 17, 2007

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

    Payer SourceTotal Paid
    Medicaid$19.5M
    Medicare$67.5K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…780$20$16.3K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…580$30$15.5K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…200$60$12.3K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…270$30$6.8K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…160$30$4.8K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$2.3K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…240$10$2.1K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…40$50$2K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…80$20$1.7K
    88332Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…60$20$1.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305301580610$30$38.2K
    8834128450210$30$11.9K
    8834279490120$40$9K
    883604226060$60$7.7K
    883072539080$70$6.1K
    8833272030$40$6K
    883128131040$50$5.7K
    883132728060$30$3.8K
    883096617020$110$2.5K
    883315819030$50$2.2K

    Showing 1–10 of 15

    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.

    258 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…67,360$40$2.6M
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.90,450$20$2M
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…44,560$40$1.6M
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.181,920$10$909.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.30,300$30$757.4K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.31,500$20$724.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.31,280$20$719.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…186,280$1$558.8K
    82805The lab analyst measures any number of blood gas parameters using a blood gas analyzer. The test must also include the O2 saturation by direct measurement.22,810$20$524.6K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…10,060$50$503K

    Showing 1–10 of 258

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    258 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3070570$50$565.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.72801,120$30$218.9K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…24170150$200$190.9K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…15250450$40$185.7K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.82110150$40$184.1K
    80081The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…2230170$50$169.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.7360600$30$165.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.7360630$30$165K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.70160300$20$145.2K
    87632The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this…1010310$90$123.1K

    Showing 1–10 of 258

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chad DefrainILAnatomic Pathology & Clinical Pathology Physician$42.1K$5M
    Cathryn GoldbergILHematology (Pathology) Physician$179.8K$3.1M
    Ankur ShahINRetina Specialist (Ophthalmology) Physician$1.6M$1.4M
    James WadeILMedical Oncology Physician$2.6M$35.2K
    Sebastien KairouzILHematology & Oncology Physician$2.1M$425.9K
    Hanna SabaILHematology & Oncology Physician$2.2M$334K
    Venkata DamarlaILHematology & Oncology Physician$1.7M$106.4K
    Caroline KedemFLDiagnostic Radiology Physician$1.4M$0
    Mhd Yahia ZeinoILObstetrics & Gynecology Physician$9.2K$1.3M
    Casey DuncanILRadiation Oncology Physician$1.2M$4.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Centers Of Central IllinoisILMental Health Clinic/Center (Including Community Mental Health Center)$0$38.4M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$25.7M
    Advanced Medical Transport Of Springfield IncILAmbulance$879.6K$8.4M
    Memorial Home Services Of Central Illinois, IncILDurable Medical Equipment & Medical Supplies$0$8.9M
    Lifestar Ambulance Service, Inc.ILAmbulance$249.2K$5.6M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$4.5M
    Timothy GillisonILHematology & Oncology Physician$1.7M$54.1K
    Scott MinkILHematology & Oncology Physician$1.6M$60.3K
    Amit GuptaILHematology & Oncology Physician$1.5M$9.4K
    David GelberILNeurology Physician$1.2M$122.3K

    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. Illinois Distribution
    Zhenqiang Gao — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Zhenqiang Gao — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois