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 California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California 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. California (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.

Gautam Bhakta (NPI 1588676407)

Field	Value
Entity Type	Individual
Organization	Gautam Bhakta
Address	205 S Halcyon Rd
City	Arroyo Grande
State	CA
ZIP	93420
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 12, 2006

Payer Source	Total Paid
Medicare	$19M
Medicaid	$0

Key Findings

GAUTAM BHAKTA is effectively a single-payer Medicare billing specialist: lifetime Medicare revenue totals $19M while there is no Medicaid billing on file, indicating operations and revenue are concentrated in the Medicare program rather than a mixed payer panel. This payer concentration implies administrative and clinical workflows oriented toward Medicare beneficiaries and reimbursement rules.

Revenue concentration is extremely high: the precomputed top three Medicare codes by revenue account for 95.5% of this provider's total Medicare revenue, signaling that a very small set of services drives nearly all reported Medicare income. That degree of concentration suggests the practice is highly focused on a narrow set of procedures rather than a broad primary-care mix.

The single largest revenue driver is Q4236, which accounts for $16.7M (87.9% of Medicare revenue) and the provider ranks #2 of 79 nationally for this code; this makes the provider an extreme outlier and a national-level high-volume specialist for this specific skin substitute product. Such dominance on a single add-on skin substitute code indicates the practice likely operates a high-volume wound-care or skin-substitute application service line.

Complementing Q4236, Q4188 ($875.5K, 4.6% of Medicare revenue) and 97610 ($573K, 3.0% of Medicare revenue) are the other two components of the precomputed top-three concentration. Q4188 sits at a typical volume rank (#20 of 47, 59th percentile) while 97610 ranks #8 of 320 nationally (98th percentile) and is described as notably above typical national volume; together these codes reinforce a clinical focus on advanced wound care including biologic skin substitutes and low-frequency ultrasound therapy.

Several additional codes show above-typical or extreme national positioning for wound-care-related services: 15271 (skin substitute) ranks #4 of 1157 providers nationally and is noted as an extreme outlier, and 99349 (home visit E/M) is an extreme outlier as well (2.9K claims, $302.9K). The combination of high-volume skin substitute codes plus very high counts of home/residence E/M visits implies the provider’s model may include substantial home-based wound care and repeated device or graft applications.

From a competitive-standing perspective, the provider is a dominant national outlier for specific skin-substitute/service codes (Q4236 rank #2 of 79; 15271 rank #4 of 1157) and notably above peers for therapy code 97610 (98th percentile). For typical primary-care and facility visit codes (e.g., 99215, 99348, 99308) the provider generally sits at high percentiles but with much smaller revenue contribution, indicating the business footprint is specialized rather than a broad-based outpatient/internal medicine practice.

Tenure supports long-standing Medicare participation: the NPI was enumerated on 2006-08-12 (~20 years ago), which indicates sustained enrollment and a prolonged opportunity to build a concentrated service line and patient base under Medicare. That longevity aligns with the accumulation of $19M in Medicare revenue and high procedural volumes for specialized wound-care codes.

The overall billing mix and rank patterns present a clear operational profile: an internal medicine–taxonomied provider who, in practice, is billing predominantly for wound-care supplies and procedures (Q-codes for skin substitutes, debridement CPTs, and adjunctive wound therapies). Analysts should treat this as a specialist-focused revenue stream within Medicare rather than a general internal medicine panel, and consider capacity, supplier relationships, and clinical protocols consistent with high-volume skin-substitute and home-based wound care service lines.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	17,230	$970	$16.7M
Q4188	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	1,140	$770	$875.5K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	1,370	$420	$573K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,860	$110	$302.9K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	690	$200	$138.4K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	950	$130	$122.8K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	420	$140	$57.7K
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…	240	$130	$31.9K
11046	The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…	420	$60	$25.9K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	390	$60	$24.3K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Gautam Bhakta — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4236	2	20	3,950	$960	$6.2M
Q4188	15	30	1,120	$750	$1.1M
97610	4	50	260	$390	$182.8K
11043	56	370	120	$170	$52.1K
99309	1,700	1,790	210	$80	$48.1K
99350	77	550	80	$140	$38.8K
99308	634	1,640	190	$60	$35.5K
99349	11	870	110	$90	$31.7K
11044	58	110	60	$240	$29.1K
11046	54	160	270	$50	$24.2K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johnson Lee	CA	Plastic Surgery Physician	$22.5M	$0
James Michail	CA	Geriatric Medicine (Family Medicine) Physician	$20.4M	$86.8K
Jack Azad	CA	General Practice Physician	$17.2M	$0
Ravindra Gautam	CA	Internal Medicine Physician	$13M	$0
Millicent Rovelo	CA	Plastic Surgery Physician	$6.1M	$0
Charles Atkinson	AZ	Surgery Physician	$5.7M	$0
Humberto Villalvazo	OR	Family Medicine Physician	$4.3M	$0
Omar Gonzalez	TX	Emergency Medicine Physician	$2M	$0
Peter Weigel	NJ	Internal Medicine Physician	$1M	$0
David Kay	CA	Family Medicine Physician	$680.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Spearman	CA	Vascular & Interventional Radiology Physician	$1.9M	$0
Halcyon Laser & Surgery Center, Inc.	CA	Ambulatory Surgical Clinic/Center	$747.4K	$0
Scott Adams	CA	Podiatrist	$683.1K	$0
Laura Sandoval	CA	Dermatology Physician	$664.2K	$0
James Kunkel	CA	Specialist	$604.2K	$0
Brent Bluett	CA	Neurology Physician	$565.3K	$0
Nathan Ecklund	CA	Foot & Ankle Surgery Podiatrist	$248.2K	$0
Andrew Martin	CA	Physical Therapist	$233.6K	$0
David Hardesty	CA	Neurology Physician	$86.7K	$0
Nora Stone	CA	Certified Registered Nurse Anesthetist	$51.1K	$0

Gautam Bhakta — Billing Profile & Reimbursement Data

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Gautam Bhakta — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References