Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSandeep Gautam
    Ask Trek AI about this page

    Sandeep Gautam — Billing Profile & Reimbursement Data

    NPI 1568416014 · Bowling Green, KY · Clinical Cardiac Electrophysiology Physician

    Customize your policy alerts

    Sign up for Sandeep Gautam — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sandeep Gautam is a clinical cardiac electrophysiology physician provider located in Bowling Green, Kentucky. This profile covers 17 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSandeep Gautam
    Address427 Us 31w Byp
    CityBowling Green
    StateKY
    ZIP42101
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedMay 20, 2006

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

    Payer SourceTotal Paid
    Medicare$69.8K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…20$720$13.7K
    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…200$70$13.1K
    93298The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for…530$20$9.5K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…240$20$4.6K
    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…30$130$4.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.810$10$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…40$90$3.9K
    93295In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…140$20$3.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$60$2.8K
    99204The provider sees a new 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 provider…20$90$2.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93656132020$710$17.7K
    992331,2441,80080$90$14.1K
    992142,2737,230110$70$14.1K
    992322,0412,860100$60$11.6K
    992231,1251,94040$130$8.6K
    992137,1057,25080$50$7.7K
    992151,1941,44030$110$6.3K
    992042,0313,20030$100$4.8K
    9329430120130$20$4.5K
    93295248070$20$3.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Curators Of The University Of MissouriMOGeneral Acute Care Hospital$0$135.8M
    The Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$40.4M
    Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$31.8M
    Lester E Cox Medical CentersMOFamily Medicine Physician$0$17M
    Curators Of The University Of MissouriMOGeneral Acute Care Hospital$0$12.1M
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Tamara HopkinsMOHematology & Oncology Physician$887.1K$0
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K
    Mark BryerMORadiation Oncology Physician$638K$0
    Reed CopeMORadiation Oncology Physician$572.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bowling Green-warren County Community Hospital CorporationKYGeneral Acute Care Hospital$0$112.1M
    Graves Gilbert Clinic PLLCKYSpecialist$0$78M
    District 4 Cdo ProgramKYSupports Brokerage Agency$0$54.7M
    Encore Of Bowlng Green Adhc LLCKYAdult Day Care Clinic/Center$0$23.9M
    Journeypure Bowling Green LLCKYSubstance Abuse Rehabilitation Facility$0$16.1M
    Ky Steps LLCKYCommunity/Behavioral Health Agency$0$13.7M
    Tj & L Consulting, LLCKYCommunity/Behavioral Health Agency$0$11.3M
    Julie GaskillKYOral and Maxillofacial Surgery (Dentist)$0$8.9M
    Medical Center Ems, L.L.C.KYAmbulance$1.8M$6.5M
    United Seating And Mobility LLCKYCustomized Equipment (DME)$0$7.3M

    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. Kentucky Distribution
    Sandeep Gautam — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky