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NPI 1548476120 · Mishawaka, IN · Internal Medicine Physician
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Alexander Gatzimos is a internal medicine physician provider located in Mishawaka, Indiana. This profile covers 26 Medicare and 11 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Alexander Gatzimos |
| Address | 212 West Edison Road |
| City | Mishawaka |
| State | IN |
| ZIP | 46545 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 14, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $85.4K |
| Medicaid | $120 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 430 | $80 | $36K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 150 | $120 | $18.2K |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 90 | $100 | $8.7K |
| 99491 | The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare… | 80 | $50 | $4.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | $120 | $3K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 80 | $20 | $1.4K |
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 30 | $50 | $1.3K |
| 20552 | Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle. | 30 | $40 | $1.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 160 | $10 | $1.3K |
| 99213 | The 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… | 20 | $70 | $1.2K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 80307 | 112 | 120 | 180 | $60 | $21.2K |
| 99489 | 23 | 20 | 70 | $50 | $21.1K |
| 99487 | 9 | 30 | 40 | $90 | $18.5K |
| 99214 | 1,368 | 10,540 | 110 | $80 | $15.5K |
| 99490 | 504 | 510 | 120 | $40 | $10.4K |
| G0439 | 1,814 | 2,430 | 60 | $120 | $10.1K |
| 99213 | 9,697 | 10,820 | 80 | $50 | $7.6K |
| 99215 | 243 | 2,730 | 30 | $110 | $7.1K |
| 99491 | 12 | 30 | 50 | $60 | $5.4K |
| 20610 | 763 | 1,000 | 50 | $40 | $4.6K |
Showing 1–10 of 26
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 200 | $0 | $0 |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 260 | $0 | $0 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 20 | $0 | $0 |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 20 | $0 | $0 |
| 99214 | The 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… | 670 | $0 | $0 |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 120 | $0 | $0 |
| 99336 | N/A | 60 | $0 | $0 |
| 99337 | N/A | 40 | $0 | $0 |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 20 | $0 | $0 |
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 10 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 1,149 | 2,120 | 870 | $60 | $450.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 286 | 510 | 180 | $90 | $93.6K |
| 99336 | N/A | 44 | 50 | 380 | $30 | $51.1K |
| 99337 | N/A | 24 | 30 | 120 | $40 | $25.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 425 | 650 | 720 | $1 | $21.1K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 542 | 590 | 180 | $1 | $3.5K |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 55 | 120 | 230 | $1 | $2.5K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 169 | 200 | 80 | $1 | $870 |
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 8 | 10 | 60 | $1 | $230 |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 12 | 10 | 180 | $1 | $210 |
Showing 1–10 of 11
Other providers in the same ZIP code as Alexander Gatzimos, ranked by combined Medicare and Medicaid revenue.
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