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    OpenPayerNPI Medicare & MedicaidMijeung Gwak
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    Mijeung Gwak — Billing Profile & Reimbursement Data

    NPI 1568961035 · Bronx, NY · Anesthesiology Physician

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    Mijeung Gwak is a anesthesiology physician provider located in Bronx, New York. This profile covers 2 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
    OrganizationMijeung Gwak
    Address111 E 210th St
    CityBronx
    StateNY
    ZIP10467
    TaxonomyAnesthesiology Physician
    NPI EnumeratedFebruary 9, 2018

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

    Payer SourceTotal Paid
    Medicare$3.7K
    Medicaid$0

    Key Findings

    This provider's recorded payer volume is extremely small and effectively single-payer: total Medicare revenue is $3.7K and there is no Medicaid billing on file. With Medicaid absent from the record, Medicare constitutes the entire documented public-payer footprint for this NPI.

    Revenue concentration is high and tightly focused: the precomputed top-3 summary shows the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. The visible code mix is therefore driving the entirety of the reported Medicare income, indicating a narrow set of billed services.

    Service-line implications from the code descriptions point to an anesthesiology practice that supplies procedural anesthesia across specialties rather than delivering a broad range of independent procedures. The two listed codes are for anesthesia tied to an unspecified lower intestinal endoscopic procedure (00811) and an eye lens procedure (00142), suggesting the provider typically works as an anesthesia specialist supporting endoscopy and ophthalmic surgical teams.

    Code-level volume and payment detail for 00811: 21 claims, $111 avg paid/claim, $2.3K revenue (63.4% of this provider's total Medicare revenue). Nationally this code ranks #16243 of 30986 providers (45th percentile) and is characterized in the source as "typical, unremarkable volume," indicating the provider's activity on 00811 is around the middle of the national distribution and not a standout.

    Code-level volume and payment detail for 00142: 16 claims, $84 avg paid/claim, $1.3K revenue (36.6% of this provider's total Medicare revenue). That code ranks #15966 of 19760 providers (16th percentile) and is also labeled "typical, unremarkable volume," which in practice places this provider on the lower side of national peers for 00142 but still within a broadly normal range.

    Competitive standing across Medicare is modest: with total Medicare revenue of $3.7K and percentile placements at or below the median for the two revenue-driving codes, this NPI represents a small-scale, non-dominant participant in national anesthesiology billing for these procedures. Neither code shows the provider as a major or leading billing entity in its specialty.

    Tenure is recent-to-moderate: the NPI was enumerated on 2018-02-09 (~8 years ago). Given the small cumulative Medicare revenue reported since enumeration, the data suggest limited Medicare billing activity during this enrollment period rather than a long-standing, high-volume practice.

    From a payer or competitive-intelligence perspective, the combination of very low total Medicare revenue ($3.7K), no Medicaid activity, and a two-code concentration (the top-3 codes account for 100.0% of Medicare revenue) implies limited exposure and a narrow service footprint for this provider; analysts should view this NPI as a small-scale anesthesia services contributor rather than a broad or high-volume competitor.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…20$110$2.3K
    00142The provider performs anesthesia services for a patient undergoing an eye lens procedure.20$80$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0014221,04030$80$7.1K
    0081121,71030$90$4.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael BraunsteinNVAnesthesiology Physician$115.5K$187K
    Michelle EdwardsNVCertified Registered Nurse Anesthetist$117.7K$10.8K
    Yuriy NikiforovNVCritical Care Medicine (Internal Medicine) Physician$116.3K$0
    Corey WarnerUTCertified Registered Nurse Anesthetist$94.4K$0
    Yi McwhorterNVAnesthesiology Physician$93.2K$0
    Ovidiu BrescanNVAnesthesiology Physician$19.2K$60K
    Cissie WalkerNVCertified Registered Nurse Anesthetist$63.6K$0
    Wassim MadiNVAnesthesiology Physician$48.8K$7.4K
    Elizabeth MagsanocNVCertified Registered Nurse Anesthetist$50.6K$0
    Scott BomanNVAnesthesiology Physician$42.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Montefiore Medical CenterNYGeneral Acute Care Hospital$0$961.7M
    Montefiore Medical CenterNYAnesthesiology Physician$1.4M$398.4M
    Port Morris Home Care Agency, LLCNYHome Health Agency$0$95.8M
    Jsp Life Agency Inc.NYHome Health Agency$0$94M
    Bronx Jewish Community Council -home Attendant Services IncNYHome Health Agency$0$39.2M
    Bronx Community Home Care, Inc.NYIn Home Supportive Care Agency$0$26.5M
    Bronx Sc LLCNYAmbulatory Surgical Clinic/Center$396.7K$2.4M
    Mahmood KazmiNYPsychiatry Physician$540.6K$760.6K
    Menachem GoldNYDiagnostic Radiology Physician$207.7K$852.7K
    Aleksandr MorimNYDiagnostic Radiology Physician$801.3K$62.8K

    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. New York Distribution
    Mijeung Gwak — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York