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NPI 1821127093 · Jackson, TN · General Practice Physician
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Peter Gardner is a general practice physician provider located in Jackson, Tennessee. This profile covers 50 Medicare and 7 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Peter Gardner |
| Address | 2075 Pleasant Plains Ext Rd |
| City | Jackson |
| State | TN |
| ZIP | 38305 |
| Taxonomy | General Practice Physician |
| NPI Enumerated | March 5, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $376.4K |
| Medicaid | $14.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
50 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,920 | $70 | $142.1K |
| 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… | 1,910 | $60 | $109.1K |
| 99203 | The 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… | 330 | $70 | $22.2K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 610 | $30 | $20.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,600 | $10 | $12.8K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 660 | $20 | $10.5K |
| 99204 | The provider sees a new 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 provider… | 70 | $110 | $7.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $120 | $6.7K |
| 90662 | This 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 | $6.6K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 440 | $10 | $4.4K |
Showing 1–10 of 50
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 50 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
50 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 32 | 11,370 | 120 | $80 | $16.6K |
| G0439 | 1,462 | 2,650 | 70 | $110 | $11.2K |
| 99215 | 2,152 | 2,710 | 40 | $110 | $8.3K |
| 99213 | 10 | 11,030 | 80 | $50 | $8K |
| 99204 | 1,327 | 5,490 | 30 | $100 | $5.3K |
| 90662 | 428 | 1,830 | 50 | $70 | $4.9K |
| 80053 | 286 | 1,600 | 160 | $10 | $4.3K |
| 80061 | 566 | 1,310 | 140 | $10 | $4.1K |
| 36415 | 69 | 3,310 | 120 | $10 | $3.2K |
| 99203 | 19 | 3,750 | 30 | $70 | $3.1K |
Showing 1–10 of 50
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The 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… | 450 | $20 | $7.2K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 480 | $10 | $6.2K |
| 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… | 180 | $10 | $880 |
| 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… | 390 | $1 | $390 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 10 | $0 | $0 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 160 | $0 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,168 | 3,760 | 610 | $40 | $202.3K |
| 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… | 2,783 | 4,050 | 620 | $30 | $183.9K |
| 99203 | The 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… | 349 | 1,240 | 120 | $60 | $53.1K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 850 | 1,270 | 470 | $10 | $19.2K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 71 | 400 | 80 | $40 | $14.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,413 | 1,480 | 410 | $1 | $7.4K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 511 | 620 | 220 | $1 | $1.1K |
Other providers in the same ZIP code as Peter Gardner, ranked by combined Medicare and Medicaid revenue.
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