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    OpenPayerNPI Medicare & MedicaidAndrew Gisleson
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    Andrew Gisleson — Billing Profile & Reimbursement Data

    NPI 1679913560 · Carbondale, CO · Family Medicine Physician

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    Andrew Gisleson is a family medicine physician provider located in Carbondale, Colorado. This profile covers 28 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Gisleson
    Address978 Euclid Ave
    CityCarbondale
    StateCO
    ZIP81623
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 25, 2013

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

    Payer SourceTotal Paid
    Medicare$224.7K
    Medicaid$8.3K

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…930$80$78K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit270$130$35.2K
    J0897Injection, denosumab, 1 mg1,560$20$28.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…60$280$15.2K
    99215The 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…120$130$15.2K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.70$130$9K
    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…110$80$8.5K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…90$70$6.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.480$10$3.8K
    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…30$110$3.4K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08971041402,580$20$68.8K
    9132018663040$120$42.1K
    99309242370220$70$29.6K
    9931021026090$110$21.6K
    9048043488080$40$16.1K
    906774292020$270$15.4K
    906623221,23040$70$15.2K
    99214508,16080$80$11.3K
    17000386470160$40$8.6K
    992155633,23040$110$8.1K

    Showing 1–10 of 28

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$100$8.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,9282,630430$90$268.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Partners Of The SouthwestCOPediatrics Physician$0$5.8M
    Valley View Hospital AssociationCOGeneral Acute Care Hospital$0$4.5M
    Andrew IliffMOHematology & Oncology Physician$2.8M$0
    Mudappa KalaiahIARheumatology Physician$652.3K$0
    Arvind DurvasanAZNephrology Physician$639.3K$8.9K
    Aneley HundaeFLCardiovascular Disease Physician$604.9K$0
    Haramandeep SinghCASleep Medicine (Psychiatry & Neurology) Physician$592.2K$0
    Mandeep SahaniAZNephrology Physician$403.6K$0
    David ReismanNHHematology & Oncology Physician$366.8K$0
    Garrett CaputoCOEmergency Medicine Physician$283.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dillon Companies LLCCOCommunity/Retail Pharmacy$221.2K$6.2K
    Dillon Companies LLCCOCommunity/Retail Pharmacy$141.2K$2.4K

    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
    Andrew Gisleson — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado
    Medicaid Revenue by Year vs. Colorado Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Andrew Gisleson — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado