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NPI 1982675773 · Nutley, NJ · Internal Medicine Physician
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Michael Gentile is a internal medicine physician provider located in Nutley, New Jersey. This profile covers 13 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Michael Gentile |
| Address | 655 Franklin Ave |
| City | Nutley |
| State | NJ |
| ZIP | 07110 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | January 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $112.3K |
| Medicare | $47.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 290 | $70 | $20.6K |
| 99214 | The 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… | 90 | $100 | $9.4K |
| 99235 | The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M… | 50 | $140 | $6.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | $140 | $4.8K |
| 99234 | The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M… | 20 | $80 | $1.9K |
| 99233 | The 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… | 10 | $100 | $1.3K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 40 | $20 | $860 |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 90 | $10 | $600 |
| G0008 | Administration of influenza virus vaccine | 10 | $30 | $480 |
| G0444 | Annual depression screening, 5 to 15 minutes | 20 | $20 | $420 |
Showing 1–10 of 13
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 8,233 | 13,640 | 130 | $90 | $23.6K |
| 99233 | 4,199 | 4,270 | 110 | $100 | $22.5K |
| 99213 | 2,937 | 14,090 | 100 | $70 | $13.1K |
| G0439 | 2,345 | 3,370 | 70 | $120 | $11.5K |
| 99235 | 5 | 40 | 20 | $120 | $3.1K |
| G0008 | 3,934 | 4,290 | 50 | $30 | $3K |
| 93010 | 715 | 1,020 | 230 | $10 | $2.9K |
| 99234 | 10 | 20 | 20 | $80 | $2.8K |
| 94010 | 187 | 340 | 40 | $20 | $2.1K |
| 93000 | 2,271 | 3,440 | 50 | $10 | $2.1K |
Showing 1–10 of 13
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 2,310 | $40 | $85.6K |
| 99214 | The 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 | $40 | $19.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 400 | $10 | $3.6K |
| 99235 | The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M… | 30 | $100 | $2.6K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 70 | $20 | $1.4K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 20 | $40 | $530 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 160 | $1 | $320 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 60 | $1 | $60 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 10 | $1 | $60 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1,110 | $0 | $0 |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 1,388 | 4,450 | 740 | $40 | $229.8K |
| 99214 | The 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… | 2,056 | 3,790 | 580 | $60 | $204K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 108 | 170 | 130 | $50 | $38.4K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 437 | 510 | 110 | $70 | $32.1K |
| 99235 | The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M… | 14 | 20 | 60 | $120 | $21.9K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 244 | 550 | 310 | $10 | $21.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 612 | 920 | 510 | $1 | $19.3K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 104 | 120 | 130 | $10 | $3.6K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 250 | 350 | 270 | $1 | $2.1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 89 | 340 | 240 | $1 | $40 |
Other providers in the same ZIP code as Michael Gentile, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Essex Medical Day Care LLC | NJ | Adult Day Care Clinic/Center | $0 | $29.3M |
| Roman Rubin | NJ | Community/Behavioral Health Agency | $0 | $8.8M |
| Metro Ambulance LLC | NJ | Land Ambulance | $2.9M | $496K |
| Jan Youssef | NJ | Specialist | $192.5K | $1.9M |
| James Agresti | NJ | Internal Medicine Physician | $382.1K | $2.3K |
| Frank Femino | NJ | Specialist | $368.2K | $0 |
| Dominick Ligresti | NJ | Specialist | $275.3K | $38.8K |
| Edward Vecchione | NJ | Internal Medicine Physician | $253.8K | $0 |
| Philip Fiore | NJ | Ophthalmology Physician | $250.4K | $0 |
| Ligaya Prystowsky | NJ | Ophthalmology Physician | $208.4K | $0 |
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