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

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

James Gavin (NPI 1609875491)

Field	Value
Entity Type	Individual
Organization	James Gavin
Address	7 Cambridge Dr Ste 201
City	Trumbull
State	CT
ZIP	06611
Taxonomy	Nephrology Physician
NPI Enumerated	July 14, 2005

Payer Source	Total Paid
Medicare	$164.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	350	$280	$95.6K
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…	280	$60	$17.6K
99214	The 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…	180	$100	$17.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	130	$100	$12.9K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	40	$230	$9.2K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	110	$60	$6.5K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	20	$240	$5.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

James Gavin — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	4	80	120	$290	$40.5K
90966	14	20	60	$240	$14.9K
99214	1,831	6,480	90	$90	$14.2K
90961	35	60	40	$240	$10.9K
99232	341	2,530	70	$60	$8.4K
90935	32	80	80	$60	$5.5K
99222	74	1,700	30	$100	$4.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nauman Chaudhry	CT	Retina Specialist (Ophthalmology) Physician	$5.1M	$0
Juner Colina-biscotto	CT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Nephrology Associates, PC	CT	Nephrology Physician	$0	$2.4M
Glenn Gandelman	CT	Cardiovascular Disease Physician	$1.7M	$593.4K
Thomas Berenberg	CT	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Jaime Strachan	CT	Vascular Surgery Physician	$1.5M	$0
Stephanie Sugin	CT	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Robert Schoen	CT	Rheumatology Physician	$1.3M	$0
Jeffrey Green	CT	Cardiovascular Disease Physician	$1M	$0
Robert Wiznia	CT	Ophthalmology Physician	$228.5K	$644.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coordinated Transportation Solutions, Inc.	CT	Transportation Broker	$0	$94.1M
Fairfield County Healthcare Associates	CT	Pediatrics Physician	$0	$16.5M
Progressive Diagnostics, LLC	CT	Clinical Medical Laboratory	$222.3K	$6M
Childrens Dentistry Of Trumbull, PC	CT	Pediatric Dentistry	$0	$4M
Trumbull Pediatrics PC	CT	General Practice Physician	$0	$1.7M
Town Of Trumbull	CT	Ambulance	$494.9K	$1.1M
Trumbull Public Schools	CT	Local Education Agency (LEA)	$0	$1.4M
Raphael Capasso	CT	Optometrist	$0	$1.2M
Connecticut In Home Assistance LLC	CT	Chore Provider	$0	$1.1M
Philip Simkovitz	CT	Critical Care Medicine (Internal Medicine) Physician	$589.2K	$506K

James Gavin — Billing Profile & Reimbursement Data

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James Gavin — 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