Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arizona (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gary Gailius (NPI 1992087506)

Field	Value
Entity Type	Individual
Organization	Gary Gailius
Address	19389 N 59th Ave
City	Glendale
State	AZ
ZIP	85308
Taxonomy	Neuromusculoskeletal Medicine & OMM Physician
NPI Enumerated	September 9, 2011

Payer Source	Total Paid
Medicare	$94.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	640	$90	$59.8K
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	370	$70	$24.3K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	250	$40	$10.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Gary Gailius — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	971	10,410	120	$80	$20.6K
98929	3	10	200	$60	$15.5K
98927	2	20	50	$40	$4.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Fintelmann	AZ	Ophthalmology Physician	$176.8K	$0
Stephanie Brown	WV	Neuromusculoskeletal Medicine & OMM Physician	$41.1K	$0
Mahsa Agha Jafari	AZ	Foot & Ankle Surgery Podiatrist	$37.6K	$0
Sabrina Wade	AZ	Occupational Therapist	$30.4K	$0
Corinne Jedynak-bell	AZ	Obstetrics & Gynecology Physician	$29.4K	$0
Lyle Greenwood	AZ	Family Medicine Physician	$23.6K	$4.2K
Kimberly Huntington-alfano	IL	Family Medicine Physician	$26.7K	$0
Emily Shortridge	AZ	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$26.6K	$0
Kurt Heinking	IL	Internal Medicine Physician	$21.4K	$0
Gary Nakken	AZ	Family Medicine Physician	$20.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Of Arrowhead, Inc	AZ	General Acute Care Hospital	$0	$27.7M
Family Care Connections LLC	AZ	Home Health Agency	$0	$23.7M
Arizona Spine And Pain Specialists LLC	AZ	Interventional Pain Medicine Physician	$0	$14.1M
Am Nutrition Services	AZ	Registered Dietitian	$0	$12.8M
El Bondy Medical Transportation LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$9.3M
Brian S Page Do LLC	AZ	Pain Medicine Physician	$0	$9.1M
Raymond W Lemberg Phd PC	AZ	Psychologist	$0	$7.5M
Cactus Childrens Clinic PC	AZ	Pediatrics Physician	$0	$6M
Southwest Kidney Davita Dialysis Partners LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6M
Surgery Center Of Scottsdale LLC	AZ	Ambulatory Surgical Clinic/Center	$1M	$3.5M

Gary Gailius — Billing Profile & Reimbursement Data

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Gary Gailius — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References