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    OpenPayerNPI Medicare & MedicaidJonathan Gapp
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    Jonathan Gapp — Billing Profile & Reimbursement Data

    NPI 1760833875 · Duluth, MN · Gastroenterology Physician

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    Jonathan Gapp is a gastroenterology physician provider located in Duluth, Minnesota. This profile covers 8 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.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJonathan Gapp
    Address420 E 1st St
    CityDuluth
    StateMN
    ZIP55805
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 29, 2016

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

    Payer SourceTotal Paid
    Medicare$22.8K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…50$180$8.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.80$60$4.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…30$90$2.8K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…20$110$2.6K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.20$80$1.5K
    99222The 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…10$100$1.4K
    91010The provider uses a manometer to analyze esophageal muscle pressure and movement in a patient with gastroesophageal reflux disease or GERD. He interprets the findings and prepares a report.20$50$880
    G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…20$1$90

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538515336040$260$16.1K
    4538014231030$160$7.3K
    432392931030$110$5.2K
    43248104010$170$4K
    9101091030$130$3.4K
    992221,6732,22020$90$2.7K
    432355414020$110$2.4K
    G050013518050$10$420

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Duluth Clinic, LtdMNMulti-Specialty Clinic/Center$0$51.7M
    St. Joseph's Medical CenterMNGeneral Acute Care Hospital$0$41.5M
    Smdc Medical CenterMNGeneral Acute Care Hospital$0$35.3M
    St Marys Medical CenterMNGeneral Acute Care Hospital$0$21M
    St. Mary's Hospital Of SuperiorWICritical Access Hospital$0$13.4M
    Essentia Health Virginia, LLCMNGeneral Acute Care Hospital$0$12.9M
    St Joseph's Medical CenterMNGeneral Practice Physician$0$7.3M
    Essentia Health Virginia, LLCMNRural Health Clinic/Center$0$5.6M
    St. Mary's Duluth Clinic Health SystemMNClinical Medical Laboratory$260.2K$5M
    Deer River Healthcare Center, Inc.MNCritical Access Hospital$0$4.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem Arrowhead, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$107.9M
    Brightwater Health Dba Human Development CenterMNMental Health Clinic/Center (Including Community Mental Health Center)$0$50.4M
    St. Luke's Hospital Of DuluthMNGeneral Acute Care Hospital$0$26.6M
    Lakewalk Surgery Center, Inc.MNAmbulatory Surgical Clinic/Center$1.7M$8.6M
    Webmed Mental HealthMNMental Health Counselor$0$7.1M
    St. Ann's HomeMNAssisted Living Facility$0$5.1M
    Hilary ReichMNDermatology Physician$294K$0
    Michael WolzMNDermatology Physician$180.6K$0
    Center For Alcohol And Drug Treatment, Inc.MNSubstance Use Disorder Rehabilitation Clinic/Center$147.3K$1.3K
    Traci RogersMNFamily Nurse Practitioner$130.1K$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. Minnesota Distribution
    Jonathan Gapp — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota