Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nicholas Gubler (NPI 1700226180)

Field	Value
Entity Type	Individual
Organization	Nicholas Gubler
Address	4403 W Court St
City	Pasco
State	WA
ZIP	99301
Taxonomy	Optometrist
NPI Enumerated	June 28, 2013

Payer Source	Total Paid
Medicare	$156.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	30	$1,090	$32.8K
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…	530	$60	$32.7K
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…	290	$90	$26.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	220	$50	$10.5K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	300	$30	$7.5K
92273	The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…	70	$100	$6.9K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	240	$30	$6.2K
92283	The provider uses an optical instrument, such as a Nagel anomaloscope, that uses long wavelengths of yellow–green light, which a patient adjusts, to match a predetermined ratio of red to green light;…	150	$40	$6.1K
92284	The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include…	150	$30	$4.5K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	170	$20	$4.2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Nicholas Gubler — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	310	460	50	$560	$97.5K
65778	4	10	30	$1,140	$38.8K
66821	239	260	50	$230	$20.4K
92014	570	790	110	$80	$16.8K
99214	1,668	10,860	100	$80	$13.6K
92273	7	20	50	$90	$11.8K
92134	147	700	70	$30	$7.6K
92283	2	10	100	$40	$7.1K
99213	272	9,690	60	$60	$6.5K
99204	2,012	4,750	30	$110	$5.2K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Perdue	WA	Optometrist	$147.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lourdes Hospital LLC	WA	Critical Access Hospital	$0	$34M
Tri-cities Community Health	WA	Dentist	$0	$16.1M
Tri-cities Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$13.2M
City Of Pasco	WA	Land Ambulance	$450.5K	$12M
Thompson. Ferguson. Steinhart. James, PLLC	WA	Dentist	$0	$12.3M
Lourdes Hospital LLC	WA	Internal Medicine Physician	$0	$8.7M
House, Lee, Mast, Mcdonald And Nelson, PC	WA	Pediatric Dentistry	$0	$6.2M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.1M
Tri-cities Community Health	WA	Case Manager/Care Coordinator	$0	$4.6M
In-home Medical Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.3M

Nicholas Gubler — Billing Profile & Reimbursement Data

Sign up for Nicholas Gubler — Billing Profile & Reimbursement Data policy alerts

Nicholas Gubler — Billing Profile & Reimbursement Data

Sign up for Nicholas Gubler — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References