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    Mark Gajjar — Billing Profile & Reimbursement Data

    NPI 1942519319 · Kyle, TX · Interventional Cardiology Physician

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    Mark Gajjar is a interventional cardiology physician provider located in Kyle, Texas. This profile covers 23 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Gajjar
    Address1180 Seton Pkwy Ste 450
    CityKyle
    StateTX
    ZIP78640
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedOctober 1, 2010

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

    Payer SourceTotal Paid
    Medicare$151.1K
    Medicaid$4.5K

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…330$90$28.3K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…30$570$14.1K
    93306The 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…150$80$11.7K
    99223The 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…90$130$10.9K
    93460The 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…50$240$10.9K
    99215The 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…80$130$10.7K
    99233The 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…110$90$9.8K
    92928The 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…20$420$8.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…130$60$7.6K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…50$160$7.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933061,1831,900210$90$23.1K
    992334,3809,320100$90$17.9K
    992146,55132,500110$80$17.6K
    333617017020$570$15.9K
    992325,23111,790100$60$15.8K
    992912,3684,72050$160$13.6K
    9292824242020$430$13.3K
    9345827280030$250$10.3K
    992232,6389,99040$130$9.5K
    992152,2418,73040$120$9.2K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…80$30$2.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.150$10$1.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$20$1.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233The 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…701960310$40$88.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,1751,460410$30$61K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.329490470$1$17.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinton J Baird PlcOKNeurological Surgery Physician$0$2.6M
    Paul ZitoOKHematology & Oncology Physician$2.2M$0
    Benjamin DownieNMMedical Oncology Physician$1.5M$0
    Abigail OwunnaTXFamily Nurse Practitioner$1.2M$0
    Michael GravesTXMOHS-Micrographic Surgery Physician$645.3K$0
    Daniel CarrascoTXDermatology Physician$620.2K$0
    Christopher GrahamTXUrology Physician$432K$0
    Austin ChangTXOphthalmology Physician$335.6K$0
    Fotini ChalkiasTXCardiovascular Disease Physician$335.3K$0
    Jacob ManuelTXOrthopaedic Surgery Physician$332.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Plum Creek Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$3.2M$0
    Kalpesh PatelTXPulmonary Disease Physician$411.2K$0
    Timothy BednarTXInterventional Pain Medicine Physician$330.4K$0
    Rajesh ShettyTXPulmonary Disease Physician$278.4K$0
    Kristin JarzombekTXInterventional Pain Medicine Physician$264.7K$0
    Jonathan JuliaTXInterventional Pain Medicine Physician$214.1K$0
    Alexander HynesTXInterventional Pain Medicine Physician$209.4K$0
    Vamsi KrishnaTXInterventional Cardiology Physician$198K$0
    Marci RoyTXNeurology Physician$146K$0
    Brett DeatherageTXDiagnostic Radiology Physician$142.6K$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. Texas Distribution
    Mark Gajjar — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Mark Gajjar — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas