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    OpenPayerNPI Medicare & MedicaidGamil Makar
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    Gamil Makar — Billing Profile & Reimbursement Data

    NPI 1972544815 · Clifton, NJ · Geriatric Medicine (Family Medicine) Physician

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    Gamil Makar is a geriatric medicine (family medicine) physician provider located in Clifton, New Jersey. This profile covers 38 Medicare and 15 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
    OrganizationGamil Makar
    Address1700 Route 3 West
    CityClifton
    StateNJ
    ZIP07013
    TaxonomyGeriatric Medicine (Family Medicine) Physician
    NPI EnumeratedJune 10, 2006

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

    Payer SourceTotal Paid
    Medicare$281.3K
    Medicaid$66.7K

    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.

    38 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…810$100$82.9K
    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…870$80$65.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…360$70$24.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$140$18.6K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose190$60$11.3K
    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,…210$50$10.1K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.200$40$8.4K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose70$100$6.6K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…120$40$5K
    99441N/A100$50$4.7K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921481813,640130$90$23.6K
    8763519126030$50$14.5K
    9921341714,090100$70$13.1K
    J7323589080$100$12.3K
    99457198330160$40$11.9K
    9581611813050$160$11.8K
    G04398723,37070$120$11.5K
    99454110300140$40$11.3K
    364154682,200110$10$11.1K
    206101421,11080$60$10K

    Showing 1–10 of 38

    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.

    15 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…460$90$39.7K
    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…650$40$23.9K
    99308The 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…140$20$2.1K
    99309The 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…30$20$580
    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,…20$30$500
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.110$1$230
    1000FNo Summary found for this code30$0$0
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.80$0$0
    1126FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.440$0$0
    1160FNo Summary found for this code760$0$0

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,3404,450740$40$229.8K
    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…2,0473,790580$60$204K
    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,…1,3441,520260$40$71.9K
    99309The 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…425490380$20$41K
    99308The 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…494710490$10$25.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.660920510$1$19.3K
    3008FNo Summary found for this code247520620$1$4.7K
    3074FNo Summary found for this code201390270$1$80
    3078FNo Summary found for this code211370310$1$80
    1126FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.42120210$1$70

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Med Screen Laboratories IncNJClinical Medical Laboratory$177.8K$29M
    Casa Home Care, IncNJHome Health Agency$0$21.7M
    Clifton Adult Opportunity CenterNJDevelopmentally Disabled Services Day Training Agency$0$21.4M
    Mental Health Clinic Of Passaic IncNJCommunity/Behavioral Health Agency$0$16.7M
    Fares Diarbakerli Md PCNJObstetrics & Gynecology Physician$0$16.5M
    National Vision Administrators, LLCNJEyewear Supplier$0$15.4M
    Charles Haddad, MdNJObstetrics & Gynecology Physician$0$12.6M
    Clifton Board Of EducationNJLocal Education Agency (LEA)$0$11.9M
    Adult Family Health Services LLCNJMental Health Counselor$0$9.7M
    Cassovia Ambulance Limited Liability CompanyNJLand Ambulance$1.4M$100K

    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. New Jersey Distribution
    Gamil Makar — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Gamil Makar — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey