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    OpenPayerNPI Medicare & MedicaidSumul Gandhi
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    Sumul Gandhi — Billing Profile & Reimbursement Data

    NPI 1467769760 · Quincy, IL · Dermatology Physician

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    Sumul Gandhi is a dermatology physician provider located in Quincy, Illinois. This profile covers 30 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
    OrganizationSumul Gandhi
    Address1025 Maine St
    CityQuincy
    StateIL
    ZIP62301
    TaxonomyDermatology Physician
    NPI EnumeratedSeptember 8, 2010

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

    Payer SourceTotal Paid
    Medicare$782.2K
    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…500$430$215.2K
    Q4159Affinity, per square centimeter (add-on, list separately in addition to primary procedure)640$320$207.4K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.270$310$84K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.100$430$44.2K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…240$190$43.5K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.30$750$23.2K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.90$190$17.5K
    15576The provider prepares a direct or tubed pedicle skin flap with the patient’s healthy skin and tissue to cover an injury or wound on the body. The provider may or may not transfer the flap to the…20$590$14.2K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.70$200$14K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$580$13.8K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4159210480$340$152.3K
    173112080230$450$144K
    173121880150$330$61.8K
    17313166050$450$34K
    772803214040$180$26.7K
    774011720700$30$24.8K
    14041213030$710$24.2K
    1524051020$750$18.9K
    1313278050$220$18.8K
    14021121020$710$18.4K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Quincy Physicians & Surgeons Clinic, PLLCILRural Health Clinic/Center$0$21.3M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Quincy Physicians & Surgeons Clinic, PLLCILClinical Medical Laboratory$1.6M$4.1M
    Quincy Physicians & Surgeons Clinic, PLLCILRural Health Clinic/Center$0$5.7M
    Quincy Physicians & Surgeons Clinic, PLLCILAmbulatory Surgical Clinic/Center$2.5M$0
    Abram GeisendorferILOphthalmology Physician$1.8M$116.2K
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Linda CookeMODermatology Physician$1.8M$0
    Raymond SmithILHematology & Oncology Physician$1.5M$54.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$9.4M
    Blessing HospitalILRural Health Clinic/Center$0$5.1M
    International Eyecare Center LLCILOptometrist$0$3.6M
    Denman Services, Inc.ILDurable Medical Equipment & Medical Supplies$0$2.9M
    Robert HaagILDiagnostic Radiology Physician$946.5K$416.5K
    Muhammad AliILHematology & Oncology Physician$1.2M$64.9K
    Travis MooreILFamily Medicine Physician$1.2M$15.9K
    Gerald RileyILDiagnostic Radiology Physician$816.6K$285.5K
    Air Evac Ems Inc.ILAir Ambulance$823.9K$37.7K
    Ernest WallaceILFamily Medicine Physician$829.9K$23.3K

    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
    Sumul Gandhi — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois