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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Gearhart
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    John Gearhart — Billing Profile & Reimbursement Data

    NPI 1609853175 · Tulsa, OK · Family Medicine Physician

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    John Gearhart is a family medicine physician provider located in Tulsa, Oklahoma. This profile covers 18 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
    OrganizationJohn Gearhart
    Address6528 E 101st St
    CityTulsa
    StateOK
    ZIP74133
    TaxonomyFamily Medicine Physician
    NPI EnumeratedDecember 27, 2005

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

    Payer SourceTotal Paid
    Medicare$135.1K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…620$80$49.2K
    99213The 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…620$40$24.6K
    99348The 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…500$50$23.2K
    99215The 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…220$50$10.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$40$4.6K
    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…110$40$4.3K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…30$150$3.8K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…100$30$2.8K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…60$40$2.4K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…80$30$2.2K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930969270170$70$42.7K
    99349118130120$70$19.8K
    992143,0575,560130$70$18.4K
    G04394101,20070$90$9.8K
    992132395,45080$50$8.7K
    992151001,31040$110$8.2K
    99348611070$40$6.2K
    9069454373050$70$5.6K
    994965715020$150$4.6K
    9934582030$130$4.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ahs Oklahoma Physician Group LLCOKFamily Medicine Physician$0$17.4M
    Ahs Oklahoma Physician Group, LLCOKRural Health Clinic/Center$0$2.1M
    Tyler WoodsOKFamily Nurse Practitioner$878.4K$0
    Khalid AlyOKInternal Medicine Physician$718.2K$0
    Joseph WomackTXUrology Physician$463.6K$0
    Jaclyn DuvallOKNeurology Physician$354.7K$0
    Isaiah WilsonOKPhysical Medicine & Rehabilitation Physician$301.5K$0
    Andreas RevelisOKPain Medicine (Anesthesiology) Physician$285K$0
    Chad CrawleyOKOrthopaedic Surgery Physician$262.9K$0
    Kristin KingOKNeurology Physician$261.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Francis Hospital South LLCOKGeneral Acute Care Hospital$0$11.1M
    Therapy Works IncOKSpeech-Language Pathologist$0$10.4M
    Pediatric Dental Group Ii, LLCOKPediatric Dentistry$0$8.5M
    Children's Dental Health Center, P.l.c.OKGeneral Practice Dentistry$0$8.2M
    Jenni Burkitt D.d.s. PLLCOKDentist$0$5.9M
    Wellness Health Group, LLCOKClinical Medical Laboratory$5.2M$727K
    Osu Center For Health SciencesOKMedical Specialty Clinic/Center$0$5.8M
    Advanced Pain Of Tulsa PLLCOKPain Medicine (Anesthesiology) Physician$0$5.8M
    Wayne N. Wyatt, Dds, Ms, PCOKOrthodontics and Dentofacial Orthopedics Dentistry$0$4.7M
    Memorial Surgery Center, LLCOKAmbulatory Surgical Clinic/Center$904.1K$3.2M

    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. Oklahoma Distribution
    John Gearhart — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma