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    OpenPayerNPI Medicare & MedicaidMichael Gailey
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    Michael Gailey — Billing Profile & Reimbursement Data

    NPI 1649435470 · Arvada, CO · Anatomic Pathology & Clinical Pathology Physician

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    Michael Gailey is a anatomic pathology & clinical pathology physician provider located in Arvada, Colorado. This profile covers 14 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
    OrganizationMichael Gailey
    Address6750 W 52nd Ave
    CityArvada
    StateCO
    ZIP80002
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJuly 21, 2008

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

    Payer SourceTotal Paid
    Medicare$65K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…830$30$24.2K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…130$60$8.3K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…240$30$5.9K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.70$70$4.6K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…120$30$3.9K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…110$30$3.5K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method10$260$3.4K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…250$10$3K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…50$50$2.1K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$1.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830568230580$40$39.1K
    8834164150200$30$8.8K
    8834290170120$40$8K
    G0416344030$160$7.9K
    8830738120100$70$7.9K
    86334114050$20$3.9K
    883124711040$50$3.8K
    88173238060$60$3.5K
    84165106070$10$3.1K
    88309386020$110$2.8K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vista Pathology Laboratory, LLCORAnatomic Pathology & Clinical Pathology Physician$0$3.3M
    Utah Pathology Services, IncUTAnatomic Pathology & Clinical Pathology Physician$0$1.7M
    Todd RandolphARAnatomic Pathology & Clinical Pathology Physician$405.5K$0
    Landon ColemanUTAnatomic Pathology & Clinical Pathology Physician$180.9K$8.5K
    J ZarandonaUTAnatomic Pathology & Clinical Pathology Physician$171.4K$10K
    Ryan LundellMNAnatomic Pathology & Clinical Pathology Physician$165.9K$0
    Michael WangORAnatomic Pathology & Clinical Pathology Physician$162K$0
    Geoffrey TurnerILAnatomic Pathology & Clinical Pathology Physician$131.8K$600
    Sophia MaUTAnatomic Pathology & Clinical Pathology Physician$112.1K$0
    Thomas WilsonUTAnatomic Pathology & Clinical Pathology Physician$80.1K$27.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Response Of Colorado IncCOAmbulance$41.9K$8.7M
    Lark Home Care Inc.COIn Home Supportive Care Agency$0$8.3M
    Rocky Mountain Homecare, Inc.CODurable Medical Equipment & Medical Supplies$0$6.7M
    Colorado Urgent Care PLLCCOUrgent Care Clinic/Center$0$5.6M
    Parker Personal Care Homes, Inc.CODevelopmentally Disabled Services Day Training Agency$0$4.7M
    Developmental Disabilities Resource CenterCODevelopmentally Disabled Services Day Training Agency$0$4.2M
    American Medical Response Of Colorado IncCOLand Ambulance$486.8K$728.4K
    Daniel SchafferCOAnatomic Pathology & Clinical Pathology Physician$89.8K$28.1K
    Costco Wholesale CorporationCOCommunity/Retail Pharmacy$63.5K$0
    Luc BibeauCOFoot & Ankle Surgery Podiatrist$50.6K$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. Colorado Distribution
    Michael Gailey — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado