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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGardar Gislason
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    Gardar Gislason — Billing Profile & Reimbursement Data

    NPI 1922038157 · Newburgh, IN · Gastroenterology Physician

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    Gardar Gislason is a gastroenterology physician provider located in Newburgh, Indiana. This profile covers 19 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
    OrganizationGardar Gislason
    Address3800 Venetian Way
    CityNewburgh
    StateIN
    ZIP47630
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 4, 2006

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

    Payer SourceTotal Paid
    Medicare$131.3K
    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.

    19 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…120$190$24.1K
    99439The 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…670$30$22.8K
    99490The 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…390$40$16.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk90$170$15.2K
    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…110$100$10.5K
    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.130$80$9.8K
    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…60$110$6.9K
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…40$130$4.8K
    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…60$50$3.2K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…20$160$2.9K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453859937060$260$26.5K
    992149,25410,540110$80$15.5K
    9949097510120$40$10.4K
    G01051722030$250$10.2K
    432396733070$100$8.8K
    453805234040$140$8.6K
    994575970100$30$7.9K
    992136,22910,82080$50$7.6K
    43248137030$180$7.1K
    99454436090$30$6.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gastrointestinal Endoscopy Center——$942.2K$0
    Lori LynchINAnatomic Pathology & Clinical Pathology Physician$353.6K$0
    Konstantin BorodaINGastroenterology Physician$286.7K$0
    Aaron PughINGastroenterology Physician$257K$0
    Michael SnyderINGastroenterology Physician$236.5K$0
    Meredith GamblinINAnatomic Pathology & Clinical Pathology Physician$225.8K$0
    Michael RuscheINGastroenterology Physician$194.3K$0
    Chad PotteigerINGastroenterology Physician$156.2K$0
    Vajravel PrasadINGastroenterology Physician$135K$0
    Ahmed KhanINGastroenterology Physician$130.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deaconess Women's Hospital Of Southern Indiana, LLCINGeneral Acute Care Hospital$0$6.9M
    Deaconess Clinic, IncINPediatrics Physician$0$6.6M
    Newburgh Urgent Care LLCINNurse Practitioner$0$6.2M
    Deaconess Hospital, IncINEmergency Medicine Physician$0$3.3M
    Brentwood Meadows, LLCINPsychiatric Hospital$0$3.3M
    Paul W Morrison, Md, LLCINObstetrics & Gynecology Physician$0$3.2M
    Douglas DebenhamINRadiation Oncology Physician$1.8M$0
    Charles LackeyINDiagnostic Radiology Physician$683.9K$0
    Mohammed AdeelINPhysical Medicine & Rehabilitation Physician$298.2K$384.3K
    Anthony CzaplickiINOrthopaedic Surgery Physician$515.6K$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. Indiana Distribution
    Gardar Gislason — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana