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

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

Benjamin Gross (NPI 1124053665)

Field	Value
Entity Type	Individual
Organization	Benjamin Gross
Address	6221 Wilshire Blvd
City	Los Angeles
State	CA
ZIP	90048
Taxonomy	Neurology Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$97.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	270	$70	$19.9K
Q3014	Telehealth originating site facility fee	450	$20	$9.4K
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…	70	$130	$9.2K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	20	$350	$6.3K
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…	60	$110	$5.8K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	30	$180	$4.8K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	20	$250	$4.7K
99203	The provider sees a new 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 provider…	40	$100	$3.8K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	20	$250	$3.8K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	30	$140	$3.6K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Benjamin Gross — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95816	298	360	40	$280	$48.9K
93886	100	110	90	$210	$31.2K
95957	45	50	70	$230	$27.5K
99214	26,196	37,970	120	$90	$23.2K
93975	330	370	30	$200	$17.1K
93925	719	1,250	40	$180	$15.4K
99213	6,768	34,660	80	$70	$13.2K
95886	437	550	70	$80	$12.5K
93880	1,874	2,230	40	$130	$10.7K
93923	259	410	40	$100	$10.3K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neurological Institute Of Los Angeles	CA	Neurology Physician	$0	$36M
Jonathan Eskenazi	CA	Neurology Physician	$2.9M	$407.6K
Nighat Sarwar	CA	Neurology Physician	$606.1K	$0
Kendal Maxwell	CA	Clinical Psychologist	$44.2K	$0
Mohammad Hajighasemi-ossareh	CA	Neurology Physician	$32.6K	$0

Benjamin Gross — Billing Profile & Reimbursement Data

Sign up for Benjamin Gross — Billing Profile & Reimbursement Data policy alerts

Benjamin Gross — Billing Profile & Reimbursement Data

Sign up for Benjamin Gross — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References