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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Eric Gross (NPI 1053386763)

Field	Value
Entity Type	Individual
Organization	Eric Gross
Address	2400 Trawood Dr Ste 304
City	El Paso
State	TX
ZIP	79936
Taxonomy	Otolaryngology/Facial Plastic Surgery Physician
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicare	$287.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31298	The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.	30	$3,510	$115.9K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	430	$140	$60.2K
31295	The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…	30	$1,660	$54.7K
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…	370	$90	$32.9K
99204	The provider sees a new 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 provider…	100	$110	$10.7K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	2,320	$1	$7K
99215	The 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…	30	$120	$4K
99205	The provider sees a new 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 provider…	10	$160	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Eric Gross — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31298	9	40	20	$3,700	$99.9K
31295	12	50	20	$1,610	$45K
99214	5,753	32,500	110	$80	$17.6K
31231	3	450	50	$130	$10.2K
99215	4,987	8,730	40	$120	$9.2K
99204	2,030	16,380	30	$110	$5.6K
99205	3,481	4,320	30	$150	$5.5K
95004	81	380	1,220	$1	$5.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holistic Care Home Health Agency, Inc.	TX	Personal Care Attendant	$0	$15.3M
Socorro Independent School District	TX	Local Education Agency (LEA)	$0	$14.5M
Caprock Home Health Services, Inc.	TX	Home Health Agency	$0	$13.7M
Caprock Home Health Services, Inc.	TX	Home Health Agency	$0	$13.5M
Care Divine Of Guardian Angel, LLC	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.7M
Q Med Laboratory, LLC	TX	Clinical Medical Laboratory	$642.7K	$442.5K
Vista Surgery Center LLC	TX	Ambulatory Surgical Clinic/Center	$817.6K	$93.9K
Exova Diagnostics LLC	TX	Clinical Medical Laboratory	$501.3K	$39.3K
James Cole	TX	Ophthalmology Physician	$402.6K	$0
Asad Omar	TX	Pulmonary Disease Physician	$397.8K	$0

Eric Gross — Billing Profile & Reimbursement Data

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Eric Gross — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References