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NPI 1659939627 · Lawrence, MA · Hospitalist Physician
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David Gilman is a hospitalist physician provider located in Lawrence, Massachusetts. This profile covers 34 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Gilman |
| Address | 1 General St |
| City | Lawrence |
| State | MA |
| ZIP | 01841 |
| Taxonomy | Hospitalist Physician |
| NPI Enumerated | June 4, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $240.2K |
| Medicaid | $24.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 1,570 | $70 | $103.8K |
| 99203 | The 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… | 560 | $80 | $42.8K |
| 0241U | N/A | 170 | $140 | $23.2K |
| 99214 | The 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… | 200 | $100 | $19.4K |
| 99204 | The 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… | 80 | $120 | $9.3K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 70 | $100 | $6.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 90 | $60 | $5.7K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 300 | $20 | $4.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 30 | $140 | $4K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 150 | $20 | $2.4K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 0241U | 2 | 20 | 40 | $140 | $15.7K |
| 99214 | 4,579 | 15,410 | 110 | $80 | $15.6K |
| 99232 | 2,172 | 5,400 | 70 | $60 | $9.3K |
| 99215 | 3,923 | 6,360 | 40 | $120 | $8.9K |
| 99213 | 42 | 13,700 | 70 | $60 | $8.8K |
| 99204 | 971 | 5,870 | 30 | $120 | $5.6K |
| 99205 | 1,931 | 2,430 | 30 | $160 | $5.5K |
| 36415 | 1,962 | 2,130 | 110 | $10 | $4.6K |
| 99222 | 614 | 3,420 | 30 | $100 | $4.5K |
| 99203 | 2 | 4,290 | 30 | $80 | $4.1K |
Showing 1–10 of 34
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0241U | N/A | 60 | $160 | $10K |
| 99213 | The 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… | 140 | $50 | $7.4K |
| 99203 | The 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… | 80 | $80 | $6.5K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 50 | $10 | $640 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 3,035 | 5,300 | 230 | $60 | $164.5K |
| 0241U | N/A | 74 | 90 | 350 | $60 | $158.8K |
| 99203 | The 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… | 523 | 990 | 100 | $80 | $75.6K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 544 | 830 | 120 | $10 | $10.6K |
Other providers in the same ZIP code as David Gilman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dental Dreams, LLC | MA | General Practice Dentistry | $0 | $6.1M |
| Merrimack Valley Health Services Inc | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $79.9K | $1.3M |
| Drasko Simovic | MA | Clinical Neurophysiology Physician | $258.4K | $661.1K |
| Amin Paulino | MA | Nephrology Physician | $205.5K | $0 |
| Michael Landman | MA | Nephrology Physician | $197.1K | $0 |
| Jose Baez | MA | Internal Medicine Physician | $127.2K | $59.6K |
| Torkom Garabedian | MA | Internal Medicine Physician | $153K | $0 |
| Ronald Garrell | MA | Diagnostic Radiology Physician | $147.6K | $850 |
| David Farzan | MA | Family Medicine Physician | $112.9K | $9.7K |
| Mara Kunst | MA | Neuroradiology Physician | $121.8K | $0 |
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