Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. West Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Justin Gandee (NPI 1588229371)

Field	Value
Entity Type	Individual
Organization	Justin Gandee
Address	1115 20th St Ste 205
City	Huntington
State	WV
ZIP	25703
Taxonomy	Psychiatry Physician
NPI Enumerated	May 7, 2019

Payer Source	Total Paid
Medicare	$5.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	20	$120	$2K
99232	The 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…	30	$60	$1.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$40	$1.4K
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…	10	$50	$570

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Justin Gandee — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	1,097	1,340	90	$60	$11.9K
99213	2,831	2,860	80	$50	$7.5K
90792	8	30	20	$120	$2.8K
99231	218	460	40	$40	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Robin Arora	WV	Nephrology Physician	$392.5K	$0
Rabah Boukhemis	WV	Physical Medicine & Rehabilitation Physician	$210.6K	$0
Matthew Bullock	WV	Adult Reconstructive Orthopaedic Surgery Physician	$207.9K	$0
Alexander Caughran	WV	Orthopaedic Surgery Physician	$175.4K	$0
Zeid Khitan	WV	Nephrology Physician	$165.4K	$0
Khalid Abozguia	WV	Clinical Cardiac Electrophysiology Physician	$155.6K	$0
Ali Oliashirazi	WV	Orthopaedic Surgery Physician	$145.2K	$0
Wesam Frandah	WV	Gastroenterology Physician	$139K	$0
Jarrod Smith	WV	Orthopaedic Surgery Physician	$73.9K	$52.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio Valley Physicians Inc	WV	Family Medicine Physician	$0	$43M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$17.2M
University Physicians & Surgeons, Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
Recovery Resource Group	WV	Community/Behavioral Health Agency	$0	$8.5M
Valley Health Systems Inc	WV	General Practice Physician	$0	$4.7M
Valley Health Systems, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$3.8M
Tri-state Allergy, Inc	WV	Allergy Physician	$0	$1.8M
Valley Health Systems Inc	WV	Obstetrics & Gynecology Physician	$0	$1M
Contemplations Behavioral Health Services	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$919.6K
Huntington Physical Therapy Services Inc	WV	Physical Therapist	$0	$843K

Justin Gandee — Billing Profile & Reimbursement Data

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Justin Gandee — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References