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    OpenPayerNPI Medicare & MedicaidJames Gill
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    James Gill — Billing Profile & Reimbursement Data

    NPI 1982689212 · Wilmington, DE · Family Medicine Physician

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    James Gill is a family medicine physician provider located in Wilmington, Delaware. This profile covers 32 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
    OrganizationJames Gill
    Address213 Greenhill Ave
    CityWilmington
    StateDE
    ZIP19805
    TaxonomyFamily Medicine Physician
    NPI EnumeratedDecember 9, 2005

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

    Payer SourceTotal Paid
    Medicare$275.8K
    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.

    32 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…660$80$55.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…980$50$47.1K
    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…410$60$24.9K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…210$110$22.4K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…580$40$21.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit160$130$21K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…360$60$20.1K
    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…90$130$12.2K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…130$90$11.7K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…170$50$8.8K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142261,830150$80$25.5K
    G043916149090$120$17.2K
    99490980140$50$17K
    992132731,810120$60$13.6K
    9921514657040$120$11K
    9948721080$100$10.5K
    99349124060$70$8.8K
    99489110150$60$8.2K
    99350202030$110$7.5K
    99439340110$40$7.3K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Medicine At GreenhillDEFamily Medicine Physician$0$1.4M
    Angela Davis BrownDEFamily Medicine Physician$252.7K$0
    Thucuc NguyenDEFamily Medicine Physician$240.9K$0
    Anjala PahwaDEFamily Medicine Physician$176.8K$0
    Cheryl BolingerDEFamily Medicine Physician$52.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$56.8M
    St. Francis Hospital Inc.DEGeneral Acute Care Hospital$0$43.2M
    Always Best Care Of DelawareDEHome Health Agency$0$38.1M
    State Of Delaware DscyfDEAdolescent and Children Mental Health Clinic/Center$0$36.5M
    Westside Family Healthcare, Inc.DEFederally Qualified Health Center (FQHC)$0$34.3M
    Brandywine Counseling & Community Services, Inc.DEAdult Mental Health Clinic/Center$170.8K$23.9M
    Connections Community Support Programs, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$16.4M
    St Anthony's Community Center IncDEMeals Provider$0$4.6M
    Emergency Physician Associates Of Delaware PCDEEmergency Medicine Physician$0$4.2M
    Horizon House Delaware IncDECase Management Agency$0$3.8M

    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. Delaware Distribution
    James Gill — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware