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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Sarah Groce (NPI 1174988992)

Field	Value
Entity Type	Individual
Organization	Sarah Groce
Address	520 N Elam Ave
City	Greensboro
State	NC
ZIP	27403
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	December 21, 2015

Payer Source	Total Paid
Medicare	$9.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	50	$110	$5.4K
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	$1.7K
G0296	Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	70	$20	$1.7K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	70	$10	$780

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Sarah Groce — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	16,163	18,060	110	$80	$15.1K
99215	2,115	5,720	40	$110	$7.7K
G0296	2	60	20	$30	$650
99406	41	370	30	$10	$450

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Moses H. Cone Memorial Hospital Operating Corporation	NC	General Acute Care Hospital	$0	$133.5M
The Moses H Cone Memorial Hospital Operating Corporation	NC	Internal Medicine Physician	$0	$21.6M
The Moses H. Cone Memorial Hospital Operating Corporation	NC	Pediatrics Physician	$0	$21.3M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Moses Cone Medical Services Inc.	NC	Ambulatory Surgical Clinic/Center	$575.7K	$820
Said Iskandar	VA	Cardiovascular Disease Physician	$462.9K	$0
Rahul Sharma	AZ	Interventional Cardiology Physician	$392.9K	$0
Lauren Guse	NY	Family Nurse Practitioner	$330.5K	$570
Eric Kozlow	NC	Allergy & Immunology Physician	$209.7K	$0
Praveen Mannam	NC	Pulmonary Disease Physician	$197.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Support Service	NC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27M
United Quest Care Services, LLC	NC	Community/Behavioral Health Agency	$0	$16.7M
Greensboro Pediatricians	NC	Pediatrics Physician	$0	$8.8M
Matthew Eskridge	NC	Urology Physician	$208.3K	$0
Matthew Manning	NC	Radiation Oncology Physician	$183K	$0
John Moody	NC	Radiation Oncology Physician	$177.4K	$0
Theodore Manny	NC	Urology Physician	$149K	$0
Scott Macdiarmid	NC	Urology Physician	$115.6K	$0
Shaylar Padgett	NC	Allergy & Immunology Physician	$98K	$0
Zachary Smith	NC	Sports Medicine (Family Medicine) Physician	$95.4K	$0

Sarah Groce — Billing Profile & Reimbursement Data

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Sarah Groce — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References