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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDerek Gearman
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    Derek Gearman — Billing Profile & Reimbursement Data

    NPI 1629485214 · Mankato, MN · Urology Physician

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    Derek Gearman is a urology physician provider located in Mankato, Minnesota. This profile covers 11 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
    OrganizationDerek Gearman
    Address1025 Marsh St
    CityMankato
    StateMN
    ZIP56001
    TaxonomyUrology Physician
    NPI EnumeratedJuly 16, 2014

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

    Payer SourceTotal Paid
    Medicare$44.2K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52649Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men. BPH often causes lower urinary symptoms, with…30$630$19K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…10$300$4.2K
    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…40$90$4K
    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…50$70$3.8K
    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…70$50$3.7K
    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…90$40$3.5K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$110$2.5K
    55700Code deleted December 31, 2025.20$90$2.1K
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…30$20$650
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.20$30$600

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5264931030$520$18.5K
    520005815050$150$10.6K
    52356335020$470$9K
    992145,90810,10070$80$8.1K
    55700196020$160$4.4K
    992132,3369,12050$50$4K
    992047293,34020$110$3.6K
    52332227020$150$3.4K
    76872257020$90$2.5K
    74420237030$30$790

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Akinwunmi Ojo-caronsVAUrology Physician$328.3K$0
    Todd BrandtMNUrology Physician$302.2K$0
    Spencer HartMNUrology Physician$239.6K$0
    Jodi MichaelsMNUrology Physician$203.1K$0
    Seyed Amin AstaniMNVascular & Interventional Radiology Physician$44.6K$134K
    Lioudmila SitnikovaMNUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$178.5K$0
    Matthew O'shaughnessyMNUrology Physician$146.5K$0
    David PrallMNUrology Physician$140.9K$0
    Mikhail RegelmanCAUrology Physician$133.1K$0
    Aaron MilbankMNUrology Physician$128.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Habilitative Services, LLCMNCommunity/Behavioral Health Agency$0$134M
    Mankato Clinic LtdMNFamily Medicine Physician$0$39.2M
    Mayo Clinic Health System-southwest Minnesota RegionMNGeneral Acute Care Hospital$0$28.5M
    Mayo Clinic Health System-southwest Minnesota RegionMNMulti-Specialty Clinic/Center$0$24.3M
    Open Door Health CenterMNFederally Qualified Health Center (FQHC)$0$13.5M
    County Of Blue EarthMNCase Management Agency$0$10.8M
    Horizon Homes, Inc.MNMental Illness Community Based Residential Treatment Facility$0$8.8M
    Ms-ac Mankato Ag Senior Living LLCMNAssisted Living Facility$0$8.3M
    Horizon Homes, Inc.MNMental Illness Community Based Residential Treatment Facility$0$6.2M
    Adult, Child & Family Services, LLCMNPsychologist$0$5.2M

    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. Minnesota Distribution
    Derek Gearman — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota