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NPI 1134129257 · Narragansett, RI · Family Medicine Physician
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Monica Gross is a family medicine physician provider located in Narragansett, Rhode Island. This profile covers 13 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 | Monica Gross |
| Address | 360 Kingstown Rd |
| City | Narragansett |
| State | RI |
| ZIP | 02882 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $54.9K |
| Medicaid | $1.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 170 | $130 | $22.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 120 | $130 | $15.2K |
| 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… | 70 | $80 | $5.6K |
| 99443 | N/A | 40 | $90 | $3.8K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 10 | $240 | $3.1K |
| 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… | 20 | $110 | $1.9K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 90 | $10 | $930 |
| G0008 | Administration of influenza virus vaccine | 20 | $30 | $710 |
| G0009 | Administration of pneumococcal vaccine | 20 | $30 | $530 |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 10 | $30 | $430 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,136 | 1,950 | 100 | $80 | $11.7K |
| G0439 | 97 | 450 | 60 | $100 | $7.7K |
| 99215 | 18 | 460 | 30 | $110 | $5.7K |
| 99204 | 548 | 740 | 30 | $110 | $4.6K |
| 90677 | 111 | 150 | 20 | $150 | $3.6K |
| 99443 | 36 | 110 | 30 | $80 | $3.5K |
| 90662 | 155 | 220 | 30 | $50 | $2.8K |
| G0008 | 276 | 420 | 30 | $30 | $2.5K |
| 69210 | 31 | 30 | 30 | $30 | $2.5K |
| 93000 | 80 | 380 | 30 | $10 | $810 |
Showing 1–10 of 13
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 | $80 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island 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… | 1,529 | 1,730 | 220 | $70 | $75.2K |
Other providers in the same ZIP code as Monica Gross, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ocean Tides | RI | Emotionally Disturbed Childrens' Residential Treatment Facility | $0 | $5.5M |
| Matthew Downey | RI | Pediatric Dentistry | $0 | $2.8M |
| National Surgical Supply Company | RI | Oxygen Equipment & Supplies (DME) | $0 | $738.8K |
| Spinnaker Associates Inc | RI | Diagnostic Radiology Physician | $0 | $685.2K |
| Meghan Moore | RI | Pediatric Nurse Practitioner | $0 | $501.2K |
| Town Of Narragansett | RI | Land Ambulance | $207.2K | $23.5K |
| Rhode Island Cvs Pharmacy, L.L.C. | RI | Pharmacy | $223K | $0 |
| Brooke Keeley | RI | Foot & Ankle Surgery Podiatrist | $102.9K | $580 |
| Jennifer Johnson | RI | Nurse Practitioner | $89.3K | $0 |
| Jason Graff | RI | Critical Care Medicine (Internal Medicine) Physician | $78K | $0 |
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