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

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

Mitchell Gruich (NPI 1154431351)

Mitchell Gruich is a pediatrics physician provider located in Biloxi, Mississippi. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Mitchell Gruich
Address	2356 Pass Rd
City	Biloxi
State	MS
ZIP	39531
Taxonomy	Pediatrics Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

37 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…	9,570	$70	$641.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,790	$90	$321.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	5,930	$40	$261.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,780	$90	$255.4K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	2,190	$90	$186.1K
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…	1,890	$90	$171.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,410	$70	$156.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,170	$90	$107.3K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	2,080	$40	$79K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	610	$60	$38.9K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

Claims Volume vs. Mississippi Distribution

Mitchell Gruich — 1 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	250	1,910	930	$60	$278.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	44	170	1,210	$90	$275K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	62	220	470	$90	$212.2K
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…	548	1,670	720	$50	$196.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	38	160	710	$30	$119.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	214	280	680	$20	$102K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	48	230	190	$80	$74.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	7	60	450	$70	$73.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	284	440	380	$30	$49.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	106	230	140	$90	$45.5K

Showing 1–10 of 37

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$507.2M
Amanda Fowler	MS	Rheumatology Physician	$3.4M	$0
Sahdev Saharan	CA	Rheumatology Physician	$1.5M	$674K
State Of Mississippi-university Of Mississippi Medical Center	MS	Family Medicine Physician	$0	$2M
Molly Sullivan	MS	Family Nurse Practitioner	$1.9M	$0
Teresa Crout	MS	Rheumatology Physician	$1.1M	$0
Day Lennep	MS	Internal Medicine Physician	$1.1M	$0
Albert Lin	MS	Retina Specialist (Ophthalmology) Physician	$966.8K	$270
Christopher Lahr	MS	Surgery Physician	$895.8K	$0
Madhava Kanakamedala	TX	Radiation Oncology Physician	$884.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$16.2M
Painstop Spine Clinic, LLC	MS	Interventional Pain Medicine Physician	$0	$4.6M
Gulf Shores Adult Day Care	MS	Adult Day Care Clinic/Center	$0	$3.7M
Tri County Eye Clinic, PLLC	MS	Ophthalmology Physician	$0	$1.7M
Anne Baranano	MS	Retina Specialist (Ophthalmology) Physician	$1.7M	$530
Tara Sykes	MS	Family Nurse Practitioner	$1.6M	$0
Building Behaviors Counseling Services, LLC	MS	Mental Health Counselor	$0	$1.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.5M
Evelyn Collier	MS	General Practice Dentistry	$0	$1.4M
Gulf Coast Outpatient Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$732.4K	$409K

Mitchell Gruich — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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