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NPI 1124037650 · Blackfoot, ID · Orthopaedic Surgery Physician
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Robert Grondel is a orthopaedic surgery physician provider located in Blackfoot, Idaho. This profile covers 20 Medicare and 1 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 | Robert Grondel |
| Address | 98 Poplar St |
| City | Blackfoot |
| State | ID |
| ZIP | 83221 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | August 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $151.4K |
| Medicaid | $890 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 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… | 490 | $90 | $46.3K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 20 | $1,040 | $24K |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 50 | $410 | $21.9K |
| 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… | 110 | $110 | $12K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 220 | $50 | $10.8K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 10 | $820 | $9.1K |
| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 190 | $40 | $6.7K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 160 | $30 | $4.2K |
| 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… | 20 | $130 | $2.7K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 70 | $30 | $2.1K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 55 | 110 | 30 | $640 | $25.1K |
| 29827 | 39 | 30 | 20 | $610 | $11.6K |
| 99214 | 460 | 2,690 | 90 | $70 | $10.4K |
| J7326 | 4 | 10 | 30 | $400 | $10.1K |
| 99215 | 596 | 810 | 40 | $100 | $6.5K |
| 20985 | 22 | 30 | 40 | $100 | $5.3K |
| 99204 | 224 | 1,180 | 30 | $100 | $4.2K |
| 99203 | 987 | 1,030 | 30 | $60 | $2.5K |
| 20610 | 39 | 260 | 40 | $40 | $2.3K |
| 29823 | 36 | 20 | 20 | $120 | $2.2K |
Showing 1–10 of 20
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.
1 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… | 20 | $60 | $890 |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 589 | 620 | 560 | $60 | $191.8K |
Other providers in the same ZIP code as Robert Grondel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mvh Bmc LLC | ID | Rural Health Clinic/Center | $0 | $11.6M |
| Camp Hippo Pediatric Therapy LLC | ID | Occupational Therapist | $0 | $5.5M |
| J&m Mental Health, Inc. | ID | Social Worker | $0 | $4.5M |
| Southeastern Idaho Developmental Center, Inc. | ID | Developmentally Disabled Services Day Training Agency | $0 | $1.8M |
| Titan Willow Operator LLC | ID | Assisted Living Facility | $0 | $1.5M |
| City Of Blackfoot | ID | Land Ambulance | $234.1K | $785.5K |
| Gables Holdings LLC | ID | Assisted Living Facility | $0 | $1M |
| Blackfoot School Dist #55 | ID | Local Education Agency (LEA) | $0 | $997.5K |
| Stillwaters Counseling LLC | ID | Mental Health Counselor | $0 | $814.8K |
| Lincare Inc. | ID | Durable Medical Equipment & Medical Supplies | $0 | $698.1K |
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