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    OpenPayerNPI Medicare & MedicaidKevin Gardner
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    Kevin Gardner — Billing Profile & Reimbursement Data

    NPI 1639490386 · Provo, UT · Dermatology Physician

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    Kevin Gardner is a dermatology physician provider located in Provo, Utah. This profile covers 30 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
    OrganizationKevin Gardner
    Address1055 N 500 W
    CityProvo
    StateUT
    ZIP84604
    TaxonomyDermatology Physician
    NPI EnumeratedJune 17, 2010

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

    Payer SourceTotal Paid
    Medicare$332.7K
    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…310$400$123.8K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.100$310$30.4K
    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…450$60$25.2K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.30$750$19.4K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.30$570$16.4K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.460$30$13.8K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.30$450$11.2K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,660$10$8.3K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)30$300$8.3K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.150$60$8.1K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173111340160$410$86.3K
    17312144070$280$31.3K
    17313142040$390$19.7K
    1526032020$680$14.3K
    1406093020$540$13K
    992142,0144,08080$80$11.6K
    J730841030$290$10.4K
    13132174040$200$10.1K
    170045011050$110$9.9K
    1700033270130$30$6.8K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Ron LordUTOphthalmology Physician$3.2M$0
    Richard CoreyUTRetina Specialist (Ophthalmology) Physician$3M$50.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$44.3M
    Utah Valley Pediatrics L.L.C.UTPediatrics Physician$0$11.9M
    Riverwoods Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$737.9K$5M
    Utah Valley Emergency Physicians IncUTEmergency Medicine Physician$0$4.7M
    Ryan IsomUTRetina Specialist (Ophthalmology) Physician$3.7M$0
    Jack StringhamUTRetina Specialist (Ophthalmology) Physician$3.4M$0
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$3.3M
    Provo City Board Of EducationUTLocal Education Agency (LEA)$0$3M
    Robert WelchUTRetina Specialist (Ophthalmology) Physician$2.5M$0
    Jonathan GuntherUTRetina Specialist (Ophthalmology) Physician$2.3M$3K

    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. Utah Distribution
    Kevin Gardner — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah