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    OpenPayerNPI Medicare & MedicaidMichael Gainer
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    Michael Gainer — Billing Profile & Reimbursement Data

    NPI 1922068303 · Springfield, IL · Orthopaedic Hand Surgery Physician

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    Michael Gainer is a orthopaedic hand surgery physician provider located in Springfield, Illinois. This profile covers 14 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
    OrganizationMichael Gainer
    Address1301 S Koke Mill Rd
    CitySpringfield
    StateIL
    ZIP62711
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMarch 28, 2006

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

    Payer SourceTotal Paid
    Medicare$42.6K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$300$8.8K
    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…150$60$8K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…30$200$5K
    99214The 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…60$90$5K
    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…60$70$3.7K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.80$30$2.2K
    99204The 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…20$110$2.1K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.60$40$2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$40$1.7K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$40$1.3K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    647213314030$460$20.5K
    992143,16018,540110$80$17.1K
    260552312030$320$13K
    992131,62817,39070$60$8.8K
    992041,2848,58030$110$5.6K
    992034816,15030$70$3.8K
    992125103,95030$40$2.4K
    205502835030$40$2.2K
    206003124030$40$1.6K
    731402228030$20$1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sakeer HussainIAHematology & Oncology Physician$1.9M$0
    Manning Regional Healthcare CenterIACritical Access Hospital$0$1.1M
    Haysam AkkadNEInterventional Cardiology Physician$817.6K$0
    Christopher GravesILOrthopaedic Surgery of the Spine Physician$533.3K$83K
    Kyle UlvelingIACardiovascular Disease Physician$325.1K$0
    Dane ChurchILAdult Reconstructive Orthopaedic Surgery Physician$312.4K$9.8K
    Timothy VanfleetILOrthopaedic Surgery of the Spine Physician$280.2K$990
    Gopika MyneniIADiagnostic Radiology Physician$263.5K$0
    Andrew BourneSDUrology Physician$246.8K$0
    D AllanILAdult Reconstructive Orthopaedic Surgery Physician$228.3K$3.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patrick ButlerILOphthalmology Physician$206.2K$0
    Karolyn SenicaILOrthopaedic Surgery Physician$199.6K$4.1K
    Donald HendersonILOptometrist$157.6K$0
    Christopher MaenderILOrthopaedic Hand Surgery Physician$148K$2.5K
    John WatsonILPain Medicine (Physical Medicine & Rehabilitation) Physician$141.7K$390
    Rodney HerrinILOrthopaedic Surgery Physician$95.5K$390
    Shivani PatelILPhysical Medicine & Rehabilitation Physician$95.9K$0
    Fareed TabatabaiILPsychiatry Physician$45.2K$26.1K
    Lesley BlackfordILSpeech-Language Pathologist$55.8K$0
    Julie MaleyILNurse Practitioner$43.6K$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. Illinois Distribution
    Michael Gainer — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois