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NPI 1891288551 · Rochester, NY · Nurse Practitioner
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Ginel Gordon is a nurse practitioner provider located in Rochester, New York. This profile covers 10 Medicare and 10 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 | Ginel Gordon |
| Address | 1555 Long Pond Rd |
| City | Rochester |
| State | NY |
| ZIP | 14626 |
| Taxonomy | Nurse Practitioner |
| NPI Enumerated | June 7, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $342.3K |
| Medicaid | $58.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 870 | $100 | $88.2K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 1,070 | $80 | $87.4K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,450 | $60 | $84.1K |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | 420 | $70 | $30.4K |
| 99491 | The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare… | 300 | $70 | $19.7K |
| 99316 | The provider sees a patient for nursing facility discharge management requiring more than 30 minutes. | 120 | $100 | $12.2K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 100 | $120 | $11.4K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 110 | $60 | $6.9K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 20 | $50 | $1.2K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 10 | $30 | $370 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 4,850 | $10 | $33.9K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 6,230 | $1 | $24.9K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 270 | $1 | $800 |
| 99316 | The provider sees a patient for nursing facility discharge management requiring more than 30 minutes. | 30 | $10 | $270 |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 10 | $10 | $180 |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 20 | $1 | $40 |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 10 | $1 | $10 |
| 99358 | Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient. | 10 | $0 | $0 |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 420 | $0 | $0 |
| 99491 | The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare… | 690 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 147 | 2,090 | 420 | $10 | $18.7K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 109 | 1,840 | 390 | $10 | $17.1K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 421 | 1,110 | 230 | $10 | $12.1K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 659 | 690 | 70 | $30 | $9.2K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 220 | 240 | 70 | $20 | $5.8K |
| 99491 | The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare… | 24 | 150 | 120 | $10 | $4.4K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 312 | 870 | 130 | $10 | $3.7K |
| 99358 | Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient. | 31 | 40 | 50 | $30 | $3.6K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 49 | 60 | 80 | $10 | $3.2K |
| 99316 | The provider sees a patient for nursing facility discharge management requiring more than 30 minutes. | 12 | 30 | 30 | $10 | $890 |
Other providers in the same ZIP code as Ginel Gordon, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Unity Hospital Of Rochester | NY | General Acute Care Hospital | $0 | $55.3M |
| Rochester General Hospital | NY | Family Medicine Physician | $0 | $25.2M |
| Kristi Cowell-kusak | NY | Internal Medicine Physician | $111.1K | $0 |
| Danielle Beatty | NY | Physical Therapist | $97.9K | $0 |
| Keith Schroeder | NY | Diagnostic Radiology Physician | $83.7K | $0 |
| Yu Zhao | NY | Internal Medicine Physician | $78.8K | $0 |
| Daniel Grace | NY | Maternal & Fetal Medicine Physician | $3.7K | $65.4K |
| Ronald D Angelo | NY | Audiologist | $53.6K | $0 |
| Amol Shrikhande | NY | Nephrology Physician | $37.4K | $610 |
| Elizabeth Westen | NY | Maternal & Fetal Medicine Physician | $4.3K | $31.6K |
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