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    OpenPayerNPI Medicare & MedicaidBenjamin Gibson
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    Benjamin Gibson — Billing Profile & Reimbursement Data

    NPI 1619257508 · Cambridge, OH · Urology Physician

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    Benjamin Gibson is a urology physician provider located in Cambridge, Ohio. This profile covers 24 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
    OrganizationBenjamin Gibson
    Address1225 Woodlawn Ave Ste 114
    CityCambridge
    StateOH
    ZIP43725
    TaxonomyUrology Physician
    NPI EnumeratedAugust 23, 2011

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

    Payer SourceTotal Paid
    Medicare$301.2K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…690$90$60.3K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…280$170$48.1K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…50$890$42.8K
    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…480$60$28.6K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.70$410$27.5K
    99203The provider sees a new 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 provider…290$70$20.1K
    99204The provider sees a new 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 provider…100$110$10.8K
    52204The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder and takes biopsies…40$240$9.7K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.10$700$8.4K
    55700Code deleted December 31, 2025.40$170$7.3K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64561132020$1,400$32.1K
    5264833020$700$18.2K
    5059035020$590$16K
    9921447920,010100$70$11.7K
    52281193020$290$10.9K
    52000934070$120$10.5K
    523567914020$450$10.3K
    5231521030$240$7.4K
    5220421020$340$7.1K
    557002117020$220$6.7K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patrick GogginOHInternal Medicine Physician$330.3K$0
    Brian LuftOHInternal Medicine Physician$242.7K$0
    Jeffrey AustenOHNephrology Physician$224.7K$0
    James GasparineOHFamily Medicine Physician$168.6K$580
    Douglas MyersOHFamily Medicine Physician$148.5K$0
    Kerrie AngeloOHFamily Nurse Practitioner$140.8K$0
    Shelly DunmyerOHFamily Medicine Physician$135.5K$0
    Robert HuffOHFamily Medicine Physician$133.5K$0
    Edward ColbyOHInternal Medicine Physician$129.1K$0
    Michael WooleryOHFamily Medicine Physician$123.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cedar Ridge Behavioral Health SolutionsOHCommunity/Behavioral Health Agency$0$37.9M
    Southeastern Ohio Regional Medical Center IncOHRural Acute Care Hospital$0$19.3M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$16.2M
    Cedar Ridge Behavioral Health Solutions LLCOHCommunity/Behavioral Health Agency$0$13.5M
    Cambridge Counseling Center, Inc.OHClinical Social Worker$0$10.4M
    United Ambulance Service Of Cambridge IncOHAmbulance$586.5K$1.7M
    Cambridge Surgical Suites, LLCOHAmbulatory Surgical Clinic/Center$457.1K$0
    John KesslerOHHematology & Oncology Physician$357.9K$0
    John AntalisOHOphthalmology Physician$250.2K$0
    Mark GogginOHInternal Medicine Physician$120.2K$0

    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. Ohio Distribution
    Benjamin Gibson — 9 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio