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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEnrico Gaspar
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    Enrico Gaspar — Billing Profile & Reimbursement Data

    NPI 1497740492 · Boaz, AL · Internal Medicine Physician

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    Enrico Gaspar is a internal medicine physician provider located in Boaz, Alabama. This profile covers 28 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
    OrganizationEnrico Gaspar
    Address2986 Us Highway 431
    CityBoaz
    StateAL
    ZIP35957
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 15, 2005

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

    Payer SourceTotal Paid
    Medicare$108.8K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…390$80$30.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…180$90$16.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$120$12.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…210$50$10.7K
    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…40$160$6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.790$10$4.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…70$60$3.8K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…60$60$3.6K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…10$230$2.7K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…30$90$2.5K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,2087,330120$80$16.8K
    99308165350170$50$15.4K
    992334251,86080$90$13.4K
    9929147991040$160$10.6K
    992233392,14040$130$8.1K
    992133,5026,47080$50$7.9K
    9923954278060$90$6.3K
    992042,9733,75030$100$4.8K
    9069456689040$70$4.6K
    830363801,08070$10$3.2K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality Of Life Health Services, IncALCommunity Health Clinic/Center$0$16.8M
    Hh Health System - Marshall LLCALGeneral Acute Care Hospital$0$6.9M
    Quality Of Life Health Services IncALCommunity Health Clinic/Center$0$6.6M
    Quality Of Life Health Services, IncALPrimary Care Clinic/Center$0$3.2M
    Marshall Medical Center SouthALGeneral Acute Care Hospital$0$2.8M
    Hh Health System - Marshall LLCALLand Ambulance$967.5K$952.4K
    Marshall Medical Center NorthALEmergency Medicine Physician$0$1.9M
    United Doctors Family Medical Center LLCALInternal Medicine Physician$0$1.5M
    Raymond FernandezALCardiovascular Disease Physician$227.4K$0
    Gary CalhounALFamily Medicine Physician$177.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advantage Dental Oral Health And Vision Center Of Alabama, P.C.ALPediatric Dentistry$0$9.1M
    B & A Childrens Clinic PCALPediatrics Physician$0$8.1M
    El Bahesh, Muhammad H. Md,pcALPediatrics Physician$0$4.6M
    Go Medical Corporation PCALInternal Medicine Physician$0$4.2M
    Marshall Medical Center SouthALAmbulance$0$1.3M
    Advantage Dental Oral Health And Vision Center Of Alabama, P.C.ALOptometrist$0$1.1M
    Alan WillisALVascular Surgery Physician$172.4K$0
    Kathleen EvansALCardiovascular Disease Physician$154.1K$0
    Mark TurkALOptometrist$26.5K$112.2K
    James McallisterALDiagnostic Radiology Physician$113.1K$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. Alabama Distribution
    Enrico Gaspar — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama