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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatrick Gustine
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    Patrick Gustine — Billing Profile & Reimbursement Data

    NPI 1548281116 · Toledo, OH · Diagnostic Radiology Physician

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    Patrick Gustine is a diagnostic radiology physician provider located in Toledo, Ohio. This profile covers 83 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
    OrganizationPatrick Gustine
    Address3900 Sunforest Ct Ste 136
    CityToledo
    StateOH
    ZIP43623
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicare$615.6K
    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.

    83 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…140$860$116.7K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie170$400$65.7K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…490$120$57.7K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.210$220$46.6K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…490$50$23.9K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…30$860$21.5K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…90$230$19.6K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries140$130$17.6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.200$90$17.5K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…90$190$17.1K

    Showing 1–10 of 83

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 83 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    83 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9595410130$440$84.1K
    A955234030$350$23.8K
    788153019050$220$22.1K
    77067180440360$40$21.3K
    77063157430330$30$13.3K
    78816194030$240$12.3K
    7417712684090$70$8.6K
    7055312134050$100$8.2K
    7214821748050$70$7K
    7372125635040$70$6.2K

    Showing 1–10 of 83

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Toledo Clinic IncorporatedOHSurgery Physician$0$15.9M
    Toledo Clinic IncorporatedOHClinical Medical Laboratory$2.1M$2M
    Toledo Clinic IncorporatedOHClinic/Center$2.4M$812.9K
    Timothy KasunicOHHematology & Oncology Physician$2M$0
    David KoubaOHDermatology Physician$1.9M$0
    Niraj ShahOHOphthalmology Physician$1.3M$0
    Shaili DesaiOHHematology & Oncology Physician$1.2M$0
    Richard PhinneyOHMedical Oncology Physician$1.2M$0
    Mohammed AbusamiehOHRheumatology Physician$1.1M$0
    Aaron PumerantzOHRheumatology Physician$985.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Midwest Recovery Center LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$45.6M
    Choices Behavioral Health CareOHCommunity/Behavioral Health Agency$0$45.2M
    Choices Behavioral Health CareOHCommunity/Behavioral Health Agency$0$20.7M
    Team Recovery Ohio, LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$17.1M
    Greater Toledo Urgent Cares, LLC.OHEmergency Medicine Physician$0$10.9M
    Mercy Health - St Anne Hospital LLCOHGeneral Acute Care Hospital$0$10.6M
    Toledo Home Healthcare LLCOHHome Health Agency$0$7.8M
    The Pediatric Center, Inc.OHPediatrics Physician$0$7.4M
    Surgery Center At Regency Park, LLCOHAmbulatory Surgical Clinic/Center$1.1M$666K
    Jonathan BernsteinOHRetina Specialist (Ophthalmology) Physician$1.2M$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. Ohio Distribution
    Patrick Gustine — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio