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    OpenPayerNPI Medicare & MedicaidGaro Garabedian
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    Garo Garabedian — Billing Profile & Reimbursement Data

    NPI 1962890038 · North Andover, MA · Internal Medicine Physician

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    Garo Garabedian is a internal medicine physician provider located in North Andover, Massachusetts. This profile covers 13 Medicare and 2 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
    OrganizationGaro Garabedian
    Address575 Turnpike St Ste 11
    CityNorth Andover
    StateMA
    ZIP01845
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 24, 2014

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

    Payer SourceTotal Paid
    Medicare$99.3K
    Medicaid$98.5K

    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.

    13 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…290$80$24K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit140$170$23.9K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…60$280$16.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$130$11.7K
    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…140$60$8.6K
    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…30$130$3.1K
    90662This 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…40$70$3K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$160$2.4K
    G0009Administration of pneumococcal vaccine60$30$1.8K
    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$100$1.8K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,98115,410110$80$15.6K
    G04391,3553,35070$120$11.9K
    992154,2756,36040$120$8.9K
    992134,14113,70070$60$8.8K
    906771051,81020$280$7.7K
    992044,3335,87030$120$5.6K
    906621,1502,19040$70$5.1K
    G0438455020$160$3.8K
    G00081,6583,49040$30$3.5K
    G040214739010$170$2.6K

    Showing 1–10 of 13

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive580$170$98.1K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.30$10$300

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive17155090$140$1.5M
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.19535040$10$4.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Community Health Connections, Inc.MAFederally Qualified Health Center (FQHC)$0$31.7M
    Community Health Connections, Inc.MAFederally Qualified Health Center (FQHC)$0$9M
    Community Health Connections, Inc.MAFederally Qualified Health Center (FQHC)$0$8.9M
    Adam CerelMACardiovascular Disease Physician$567.7K$299.4K
    Gary ProulxNYRadiation Oncology Physician$562.4K$0
    Cheryl DivitoMAFamily Medicine Physician$49.7K$345.1K
    Mustali DohadwalaVACardiovascular Disease Physician$391K$0
    Walid SaberRIInterventional Cardiology Physician$323.2K$58K
    Kartik KumarMACardiovascular Disease Physician$359.2K$290

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Behavioral AssociatesMAClinical Child & Adolescent Psychologist$0$56.7M
    Life Choice Hospice Of Southern Massachusetts LLCMACommunity Based Hospice Care Agency$0$40.5M
    Preferred Home Health Care & Nursing Services, IncMADurable Medical Equipment & Medical Supplies$0$12.9M
    Blissful Homecare LLCMAHome Health Agency$0$7M
    Akindele MajekodunmiMAInternal Medicine Physician$404.3K$730.9K
    Town Of North AndoverMAAmbulance$434.9K$683.2K
    Beth BiggeeMARheumatology Physician$916.5K$0
    Ayobami OjutalayoMAFamily Medicine Physician$521.7K$1.6K
    Thomas JohnsonMASpecialist$336.7K$124.4K
    Ernesto ZilberbergMAPsychiatry Physician$366.5K$86.2K

    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. Massachusetts Distribution
    Garo Garabedian — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Garo Garabedian — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts