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Gary Adam Gechlik, MD

Emergency Medicine · San Jose

NPI 1578501763

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Gechlik’s office at (408) 559-2011 to ask if they take your plan before you enroll.

California Medical Board record

Licence A71339 · Current

Licensed to practise in California · since 2000 · expires 2027-10-31 · Umdnj Robert Wood Johnson Medical School.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$84,653

Medicare paid this office $84,653 for 558 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making353$54,220$151
Emergency department visit with moderate level of medical decision making138$14,629$104
Critical care, first 30-74 minutes49$9,551$195
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only293$2,395$8

Who their Medicare patients are

558 Original Medicare patients in 2024. Average age 78 · Under 65 8% · 85 and older 27% · Women 60% · Also on Medicaid 30% · Health risk score 1.77. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Coronary heart disease 41% · Diabetes 39% · Atrial fibrillation 36% · Chronic kidney disease 33% · Heart failure 32% · Depression 30% · Dementia 25% · Stroke 25% · COPD 22% · Cancer 21%.

The office billed $686,045, Medicare allowed $108,775 and paid $84,653; for 918 services of 26 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024558918781.77$686,045$84,653
20236681,115781.89$794,275$103,662
20226921,183791.82$756,829$116,042
20216361,159781.97$722,306$120,230
2020547934771.94$562,896$88,567
20196971,144771.80$649,491$102,791
20186901,255771.86$539,405$122,140
20176541,224771.92$471,094$149,640
20167151,282771.87$462,026$107,172
20158191,582771.86$546,595$128,065
20147701,481751.69$478,563$114,579
20137691,425751.71$455,719$111,990

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making407$65,314$156
Critical care, first 30-74 minutes78$15,821$200
Emergency department visit with moderate level of medical decision making149$14,967$100
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only368$2,865$7

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making429$76,585$174
Critical care, first 30-74 minutes76$17,831$235
Emergency department visit with moderate level of medical decision making113$12,051$103
Emergency department visit with low level of medical decision making58$3,592$61
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only410$3,293$7

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making423$80,530$180
Critical care, first 30-74 minutes71$17,567$244
Emergency department visit with moderate level of medical decision making92$10,314$112
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only389$3,147$8
Emergency department visit with low level of medical decision making46$3,145$67

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making352$57,336$158
Critical care, first 30-74 minutes62$13,779$215
Emergency department visit with moderate level of medical decision making76$8,262$106
Emergency department visit with low level of medical decision making46$2,806$58
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only298$2,559$8

2019: 5 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making484$74,516$150
Emergency department visit with moderate level of medical decision making105$10,667$101
Critical care, first 30-74 minutes41$8,043$196
Emergency department visit with low level of medical decision making67$3,629$54
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only357$2,938$8

2018: 5 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making498$87,157$167
Critical care, first 30-74 minutes67$15,093$222
Emergency department visit with moderate level of medical decision making78$9,153$114
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only445$4,197$9
Emergency department visit with low level of medical decision making50$2,901$58

2017: 5 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making476$105,794$211
Critical care, first 30-74 minutes58$16,798$285
Emergency department visit with moderate level of medical decision making79$11,317$140
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only430$5,321$11
Emergency department visit with low level of medical decision making43$3,280$76

2016: 5 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making451$69,007$148
Critical care, first 30-74 minutes72$14,029$195
Emergency department visit with moderate level of medical decision making106$10,696$100
Emergency department visit with low level of medical decision making88$4,595$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only418$3,499$8

2015: 6 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making565$86,401$146
Critical care, first 30-74 minutes71$14,122$193
Emergency department visit with moderate level of medical decision making103$10,574$99
Emergency department visit with low level of medical decision making96$4,896$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only533$4,590$8
Emergent insertion of breathing tube into windpipe using an endoscope13$1,234$95

2014: 6 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making483$72,777$145
Critical care, first 30-74 minutes72$14,074$195
Emergency department visit with moderate level of medical decision making109$10,912$98
Emergency department visit with low level of medical decision making97$5,093$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only531$4,489$8
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less11$413$38

2013: 6 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making498$75,233$143
Emergency department visit with moderate level of medical decision making121$12,065$97
Critical care, first 30-74 minutes53$10,280$190
Emergency department visit with low level of medical decision making91$4,614$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only489$3,910$7
Application of short leg splint from calf to foot11$508$46

Medicaid work

$151,963 in 2024

Medicaid paid $151,963 for 2,831 billed services this clinician did in 2024, up to 85 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service225$38,504
Service749$37,146
EMERGENCY DEPT VISIT MOD MDM540$25,794
EMERGENCY DEPARTMENT VISIT HIGH MDM354$19,352
Service104$11,335
COMPREHENSIVE METABOLIC PANEL94$7,463
Unlisted special service, procedure or report20$2,275
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)38$1,982
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report99$1,914
Troponin, quantitative26$1,895
ASSAY OF LIPASE86$1,033
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)251$986
Medicaid work by year
20242,8312085$151,963
20233,4931888$137,599
20221,7121352$82,903
20211,178840$57,912
20201,049845$57,241
20191,6091051$88,695
2018764447$28,585
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service589$44,759
EMERGENCY DEPT VISIT MOD MDM745$30,951
Service693$24,910
EMERGENCY DEPARTMENT VISIT HIGH MDM413$20,590
Unlisted special service, procedure or report77$10,725
COMPREHENSIVE METABOLIC PANEL100$1,876
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only141$1,487
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)42$1,240
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique12$376
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)12$358
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)276$139
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report124$119

2022

Largest Medicaid services in 2022
Service129$18,629
Service291$17,376
EMERGENCY DEPARTMENT VISIT HIGH MDM312$14,850
EMERGENCY DEPT VISIT LOW MDM441$12,024
EMERGENCY DEPT VISIT MOD MDM241$9,259
Unlisted special service, procedure or report75$7,696
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc15$2,116
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only65$599
COMPREHENSIVE METABOLIC PANEL13$303
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)90$40
ASSAY OF LIPASE13$6
Measurement of direct bilirubin13$4

2021

Largest Medicaid services in 2021
Service134$18,290
EMERGENCY DEPARTMENT VISIT HIGH MDM288$13,591
EMERGENCY DEPT VISIT LOW MDM301$9,917
Service180$8,049
EMERGENCY DEPT VISIT MOD MDM178$7,191
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only58$574
Unlisted special service, procedure or report13$295
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)26$5

2020

Largest Medicaid services in 2020
Service267$16,257
EMERGENCY DEPARTMENT VISIT HIGH MDM253$12,354
EMERGENCY DEPT VISIT LOW MDM267$8,780
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc39$7,234
EMERGENCY DEPT VISIT MOD MDM133$5,449
Service25$3,540
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"18$3,270
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only47$357

2019

Largest Medicaid services in 2019
Service453$26,712
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"82$17,437
EMERGENCY DEPT VISIT LOW MDM377$12,651
EMERGENCY DEPARTMENT VISIT HIGH MDM222$12,042
EMERGENCY DEPT VISIT MOD MDM227$9,133
Unclassified drugs28$8,120
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)52$1,483
Service13$440
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only49$343
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)106$333

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM384$13,180
EMERGENCY DEPARTMENT VISIT HIGH MDM214$10,956
EMERGENCY DEPT VISIT MOD MDM98$3,919
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only68$530

Drugs they prescribed that Part D paid

$5,172

Pharmacies billed $5,172 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 7% of their Part D prescriptions (26 of 374) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

349 generic and fewer than 11 brand-name prescriptions · $5,172 in drug cost · 88 antibiotic prescriptions to 83 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Albuterol Sulfate Hfa17$379$22
Diclofenac60$227$4
Cephalexin27$188$7
Ondansetron30$177$6
Nitrofurantoin Mono-Macro13$151$12
See all 10 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa17$379$22
Diclofenac60$227$4
Cephalexin27$188$7
Ondansetron30$177$6
Nitrofurantoin Mono-Macro13$151$12
Hydrocodone-Acetaminophen23$141$6
Pantoprazole15$55$4
Gabapentin11$46$4
Cyclobenzaprine13$41$3
Prednisone19$19$1

Year by year

Part D prescribing by year
20243742527% (26)None$5,172
202330921510% (32)None$4,491
202229819511% (34)None$5,922
202120213618% (37)None$3,570
202018612318% (34)10%$2,805
201927217716% (43)14%$5,149
201820614413% (27)14%$4,497
201717212315% (25)9%$2,996
201618313315% (27)None$2,718
201524716523% (56)11%$3,123
201427416323% (62)None$4,929
201321814724% (53)11%$3,151

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Albuterol Sulfate Hfa17$442$26
Ondansetron29$161$6
Cephalexin12$147$12
Hydrocodone-Acetaminophen26$142$5
Amoxicillin-Clavulanate Potass12$119$10
Azithromycin16$90$6
Pantoprazole12$63$5
Diclofenac11$62$6

2022: 11 drugs

Part D drugs prescribed in 2022
Albuterol Sulfate Hfa22$782$36
Ketorolac Tromethamine19$374$20
Amoxicillin-Clavulanate Potass15$167$11
Hydrocodone-Acetaminophen24$155$6
Methylprednisolone12$138$12
Azithromycin18$89$5
Ondansetron13$84$6
Cephalexin11$83$8
Cyclobenzaprine15$61$4
Gabapentin12$25$2
Prednisone13$21$2

2021: 2 drugs

Part D drugs prescribed in 2021
Ketorolac Tromethamine11$236$21
Hydrocodone-Acetaminophen29$166$6

2020: 4 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen29$138$5
Cephalexin11$68$6
Naproxen15$49$3
Prednisone12$28$2

2019: 6 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen31$166$5
Ondansetron Odt14$113$8
Cephalexin15$108$7
Gabapentin13$60$5
Naproxen16$54$3
Prednisone16$39$2

2018: 4 drugs

Part D drugs prescribed in 2018
Nitrofurantoin Mono-Macro14$338$24
Hydrocodone-Acetaminophen21$137$7
Cephalexin13$127$10
Levofloxacin12$97$8

2017: 4 drugs

Part D drugs prescribed in 2017
Levofloxacin14$267$19
Hydrocodone-Acetaminophen17$74$4
Ondansetron Odt11$62$6
Meclizine11$46$4

2016: 4 drugs

Part D drugs prescribed in 2016
Levofloxacin15$210$14
Cephalexin14$135$10
Hydrocodone-Acetaminophen13$116$9
Gabapentin11$40$4

2015: 6 drugs

Part D drugs prescribed in 2015
Levofloxacin13$247$19
Oxycodone-Acetaminophen23$230$10
Cephalexin18$139$8
Hydrocodone-Acetaminophen21$114$5
Azithromycin12$79$7
Prednisone12$44$4

2014: 6 drugs

Part D drugs prescribed in 2014
Oxycodone-Acetaminophen33$253$8
Ketorolac Tromethamine13$149$11
Hydrocodone-Acetaminophen19$107$6
Cephalexin12$106$9
Azithromycin16$103$6
Naproxen18$69$4

2013: 5 drugs

Part D drugs prescribed in 2013
Proair Hfa14$621$44
Azithromycin18$167$9
Cephalexin16$130$8
Hydrocodone-Acetaminophen31$123$4
Meclizine11$110$10

Money from drug and device companies

$34 in 2021

A payment is not proof that care is biased.

Payments by company
iRhythm TechnologiesZio Patch$34
1 payment
  • Meals for Zio Patch · 2021-10-14 · $34
See the published payment
Every published payment
iRhythm TechnologiesMeals · 2021-10-14Zio Patch$34

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
94.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1578501763
Licence
CA A71339California A71339: Current · expires 2027-10-31
More record details
Sole proprietor
No
Medicaid ID
CA 00A713390
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2100 Powell Street, Ste 920, Emeryville, CA, 94608
NPI first listed
2006-06-02
NPI last updated
2007-11-27

This is when the NPI record was last certified, not a medical board exam.