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    OpenPayerNPI Medicare & MedicaidDarin Gambles
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    Darin Gambles — Billing Profile & Reimbursement Data

    NPI 1790768174 · Blackfoot, ID · Podiatrist

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    Darin Gambles is a podiatrist provider located in Blackfoot, Idaho. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDarin Gambles
    Address1495 Parkway Dr
    CityBlackfoot
    StateID
    ZIP83221
    TaxonomyPodiatrist
    NPI EnumeratedNovember 21, 2005

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

    Payer SourceTotal Paid
    Medicare$37.9K
    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
    99213The 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…440$50$23.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.190$30$5.8K
    99203The 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$70$5.1K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.70$20$1.3K
    64455The provider injects a steroid or anesthetic agent or both into the area around the digital nerves on the sole of the foot to treat a condition such as Morton's neuroma.30$30$950
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…20$40$720
    20551The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon.20$40$620
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg70$10$330

    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
    117212650190$30$9.4K
    992131142,77070$50$5.7K
    992031471,03030$60$2.5K
    6445551030$30$1K
    20605132020$30$1K
    J0702335080$1$670
    2055141020$30$670
    7362063020$10$600

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Franklin County Medical CenterIDCritical Access Hospital$0$4.2M
    Franklin County Medical CenterIDRural Health Clinic/Center$0$4.2M
    David BecksteadIDFamily Medicine Physician$175.6K$294.9K
    Brian RichardsonUTInterventional Pain Medicine Physician$399K$14.6K
    James TaylorIDDiagnostic Radiology Physician$292.3K$0
    Brent ChristensenIDPodiatrist$80.6K$171.5K
    Michael CleggUTPhysical Medicine & Rehabilitation Physician$166.2K$0
    Nicholas PiersonIDDiagnostic Radiology Physician$165.6K$0
    Matthew HammondAZOphthalmology Physician$160.7K$0
    Peter VanceIDDiagnostic Radiology Physician$159.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mvh Bmc LLCIDRural Health Clinic/Center$0$11.6M
    Bmh Inc.IDRural Health Clinic/Center$0$5.8M
    Camp Hippo Pediatric Therapy LLCIDOccupational Therapist$0$5.5M
    J&m Mental Health, Inc.IDSocial Worker$0$4.5M
    Bmh IncIDCritical Access Hospital$0$3.5M
    Bmh IncIDRural Health Clinic/Center$0$2.6M
    Bmh, Inc.IDSurgery Physician$0$2.3M
    Southeastern Idaho Developmental Center, Inc.IDDevelopmentally Disabled Services Day Training Agency$0$1.8M
    Titan Willow Operator LLCIDAssisted Living Facility$0$1.5M
    City Of BlackfootIDLand Ambulance$234.1K$785.5K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Idaho Distribution
    Darin Gambles — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho