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 & MedicaidHitesh Gidwani
    Ask Trek AI about this page

    Hitesh Gidwani — Billing Profile & Reimbursement Data

    NPI 1588929889 · Erie, PA · Critical Care Medicine (Internal Medicine) Physician

    Customize your policy alerts

    Sign up for Hitesh Gidwani — 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.

    Hitesh Gidwani is a critical care medicine (internal medicine) physician provider located in Erie, Pennsylvania. This profile covers 9 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
    OrganizationHitesh Gidwani
    Address204 W 26th St
    CityErie
    StatePA
    ZIP16508
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedJuly 12, 2012

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

    Payer SourceTotal Paid
    Medicare$163K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…730$160$119.3K
    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…280$90$25.3K
    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…50$130$6.3K
    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…70$60$4.1K
    31624In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…20$100$1.8K
    31500The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.20$110$1.7K
    36556The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.30$60$1.7K
    36800The provider inserts a cannula into two veins for hemodialysis, a process in which a dialysis machine removes harmful wastes, salt, and fluids from the blood and reinfuses the purified blood back…20$90$1.6K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…40$30$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992337966,63070$90$12K
    9929163,80040$170$11.7K
    992325,81910,87080$60$9.6K
    992232,8207,02040$130$7.8K
    31500187010$110$1.6K
    3680011020$90$1.3K
    365562126020$70$1.1K
    316245212020$30$850
    366207368020$30$840

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Justin ReisFLPulmonary Disease Physician$297.9K$0
    Bravein AmalakuhanTXPulmonary Disease Physician$281.9K$0
    Napoleon Puente CuellarTXPulmonary Disease Physician$272K$0
    Ali AbediTXPulmonary Disease Physician$262.4K$0
    Andrew SkabelundTXPulmonary Disease Physician$227.2K$0
    Christopher BurdickTXCritical Care Medicine (Internal Medicine) Physician$194.5K$0
    Marco De Los SantosTXPulmonary Disease Physician$152.9K$0
    Shameen SalamPAInternal Medicine Physician$150.4K$0
    Ana Garza AvilaTXPulmonary Disease Physician$144.2K$0
    Craig AinsworthTXInternal Medicine Physician$141.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Safe Harbor Behavioral Health Of Upmc HamotPAMental Health Clinic/Center (Including Community Mental Health Center)$0$13M
    Stairways Behavioral HealthPAClinic/Center$0$9.7M
    Lakeshore Community Services, Inc.PACase Management Agency$0$9.6M
    Leeza PatelPARheumatology Physician$1.4M$0
    Kathe BrysonPARheumatology Physician$821.2K$0
    Kevin MikielskiPACardiovascular Disease Physician$352.6K$428.5K
    Diagnostic X-ray Service, Inc.PAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$338K$26.3K
    Eric MiliePAInternal Medicine Physician$99.9K$188K
    Thomas WilkinsPAPhysical Medicine & Rehabilitation Physician$234.6K$0
    Steven O'donnellPANeuromusculoskeletal Medicine & OMM Physician$99.7K$87.3K

    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. Pennsylvania Distribution
    Hitesh Gidwani — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania