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    OpenPayerNPI Medicare & MedicaidTony Gayle
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    Tony Gayle — Billing Profile & Reimbursement Data

    NPI 1629110473 · East Point, GA · Podiatrist

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    Tony Gayle is a podiatrist provider located in East Point, Georgia. This profile covers 12 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationTony Gayle
    Address2084 Headland Dr
    CityEast Point
    StateGA
    ZIP30344
    TaxonomyPodiatrist
    NPI EnumeratedFebruary 12, 2007

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

    Payer SourceTotal Paid
    Medicare$97.7K
    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.

    12 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…380$80$29.1K
    99349The 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…180$90$15.6K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…140$100$14.1K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.500$20$11.4K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.440$20$9.3K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.220$30$5.5K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…40$120$4.9K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…40$100$3.7K
    G0127Trimming of dystrophic nails, any number290$10$2K
    97124Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…30$20$680

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309228560270$70$38.4K
    993497226080$80$15.6K
    9931017727060$100$15.4K
    1172189310240$30$10.6K
    993051916040$90$7.3K
    110562619070$50$6.8K
    971241720190$20$4.8K
    117208312090$20$4K
    G01271870140$10$3.5K
    1100011040$30$3K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    My Parents Keeper IncGAIn Home Supportive Care Agency$0$3.9M
    Rutledge Medical Associates LLCGAPrimary Care Clinic/Center$0$2.9M
    Cassaundra GrayGAProfessional Counselor$0$444.7K
    Precious L. Braswell, Md, Ob/gyn, LLCGAObstetrics & Gynecology Physician$0$262.3K
    Charles OkoloGAGastroenterology Physician$165.6K$0
    Ga Doctors Of Optometry LLCGAEyewear Supplier$0$138.9K
    Bob AgboguGANephrology Physician$136.7K$0
    William WrightGADiagnostic Radiology Physician$105.4K$0
    Narrene TaffeGACertified Registered Nurse Anesthetist$12.9K$0
    Irwin BestGASurgery Physician$1.3K$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. Georgia Distribution
    Tony Gayle — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia