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 Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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.

Gary Idelchik (NPI 1811131311)

Field	Value
Entity Type	Individual
Organization	Gary Idelchik
Address	1230 E 1st St
City	Casper
State	WY
ZIP	82601
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	April 28, 2009

Payer Source	Total Paid
Medicare	$439.4K
Medicaid	$0

Key Findings

This provider’s Medicare practice is the clear revenue source: total Medicare revenue is $439.4K and there is no Medicaid billing on file, so the provider is effectively single‑payer (Medicare) in the available claims data. The absence of any Medicaid entries on the Top 25 Medicaid list confirms no Medicaid revenue was reported to the dataset.

Revenue is concentrated in a handful of outpatient evaluation and diagnostic codes: 99215 ($81.4K, 19.4%), 99214 ($73.2K, 17.5%) and 93306 ($43.4K, 10.3%) are the top three Medicare revenue contributors and—per the precomputed metric—these top 3 codes together account for 47.2% of this provider’s total Medicare revenue. That concentration indicates office visits and echocardiographic diagnostics are major drivers of billed Medicare dollars.

The procedure mix is consistent with an interventional cardiology practice that manages both clinic volume and catheterization lab procedures: notable interventional codes include 92928 ($36.7K, 8.7%), 93460 ($23.6K, 5.6%), 92978 ($5.3K, 1.3%), and 92933 ($7.9K, 1.9%), while diagnostic and imaging support shows up as 93306, 78452 ($20.9K, 5.0%) and A9500 ($13.8K, 3.3%). Together these codes suggest a blended workflow of high-complexity outpatient visits, imaging interpretation, and percutaneous coronary interventions.

On competitive standing, this provider is a strong outlier on several high-value items: 99215 ranks #1226 of 145531 providers nationally (99th percentile; extreme outlier), 93460 ranks #9 of 2166 providers (100th percentile; extreme outlier), and 92928 ranks #130 of 5112 providers nationally (97th percentile; notably above typical national volume). These rank/percentile positions indicate substantially higher-than-typical national procedure or visit volumes for those specific services compared with peers.

Operationally, the practice has heavy ambulatory throughput: 99214 shows 763 claims with $73.2K revenue and 99215 shows 594 claims with $81.4K revenue, reflecting substantial clinic E/M activity and sustained outpatient follow-up. High counts for routine diagnostics—93000 with 451 claims ($5K) and 93015 with 69 claims ($3.5K)—further indicate regular noninvasive testing throughput supporting the clinic and procedural caseload.

The provider’s case mix includes higher-acuity and device-related services: critical care codes 99291 (43 claims, $7.3K) and 99292 (32 claims, $2.7K) are present, and device management codes such as 93280 (127 claims, $7.9K) and 93284 (36 claims, $3K) appear in the billing. An uncommon interventional item, 33990 (19 claims, $2.9K), ranks #3 of 28 providers nationally, signaling rare but notable use of specialized mechanical circulatory support procedures in the reported claims.

The national percentiles for many codes show a mixed profile: while several high-value items are extreme outliers or notably above typical (e.g., 99215 and 93460), many other services sit at typical volumes (for example, 93306 at the 80th percentile, 78452 at the 66th percentile, and 99233 at the 77th percentile). This pattern suggests a practice that combines exceptional volumes in specific interventional and high-complexity visit codes with otherwise typical utilization across broader cardiology services.

The provider has longstanding enumeration and local presence: NPI was enumerated 2009-04-28 (~17 years ago) and taxonomy is Interventional Cardiology Physician in Casper, WY, consistent with an experienced interventional cardiologist maintaining both ambulatory and procedural Medicare activity over many years. Given the concentrated Medicare revenue and lack of Medicaid billing on file, payer strategy and competitive analysis should treat this as a Medicare-centric interventional cardiology practice with outsized national standing on selected procedures.

Medicare: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	590	$140	$81.4K
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…	760	$100	$73.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	430	$100	$43.4K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	100	$380	$36.7K
93460	The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…	100	$240	$23.6K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	90	$240	$20.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	220	$90	$20.5K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	110	$130	$13.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$140	$13.1K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	70	$180	$12.9K

Showing 1–10 of 42

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Gary Idelchik — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

42 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	8	20	300	$100	$29.6K
92928	1	10	60	$390	$22.1K
A9500	4	10	90	$130	$15.8K
99214	28	780	100	$80	$14.8K
78452	8	20	70	$210	$13.7K
99233	20	110	70	$90	$11.3K
J2785	5	10	180	$40	$10.6K
93351	7	10	30	$170	$9.9K
99213	584	850	110	$60	$9.9K
93460	1	10	20	$250	$9.6K

Showing 1–10 of 42

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baycare Medical Group, Inc.	FL	General Practice Physician	$0	$14.9M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Ali Saberi	FL	Internal Medicine Physician	$5.7M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Gary Idelchik — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References