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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathan Graves
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    Nathan Graves — Billing Profile & Reimbursement Data

    NPI 1184653743 · Grapevine, TX · Urology Physician

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    Nathan Graves is a urology physician provider located in Grapevine, Texas. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathan Graves
    Address1601 Lancaster Dr Ste 170
    CityGrapevine
    StateTX
    ZIP76051
    TaxonomyUrology Physician
    NPI EnumeratedJuly 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$449.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…4,610$30$156.7K
    99215The 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…280$140$38K
    53850Microwave thermotherapy is a treatment method that uses heat to destroy abnormal tissue. It is used to treat benign prostatic hypertrophy (BPH), a condition in which the prostate becomes enlarged due…20$1,140$27.3K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.770$30$26.2K
    55899Use 55899 to report procedures in the male genital system that does not have a specific code.130$150$20.4K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…230$80$18.6K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.160$100$16.4K
    87556The lab analyst performs a test for Mycobacterium tuberculosis using amplified nucleic acid probe technique. Mycobacteria tuberculosis are sometimes called acid fast bacteria because of the special…390$40$15.4K
    99214The 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…140$100$14K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.390$30$13.1K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8779861300790$30$265.1K
    8748174270150$30$68.8K
    5385021020$1,080$32.5K
    87556620120$40$27.4K
    876405325070$30$25.9K
    876534723070$30$24K
    876514030030$30$18.6K
    9921413,80432,500110$80$17.6K
    5221461020$560$15.6K
    50590105020$550$13.1K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven AshTXUrology Physician$165.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tqc, LLCTXCommunity/Behavioral Health Agency$0$12.4M
    Jds Labs LLCTXClinical Medical Laboratory$6.1M$312.5K
    Barry FirstenbergTXHematology & Oncology Physician$985K$0
    Saira MominTXMOHS-Micrographic Surgery Physician$674.7K$0
    Lonestar Ambulatory Surgical CenterTXAmbulatory Surgical Clinic/Center$564K$0
    Raul SantosTXCardiovascular Disease Physician$471.7K$0
    Sonal PatelTXOptometrist$392.9K$0
    Virginia MorganTXFamily Nurse Practitioner$388.5K$0
    Kevin ThelemanTXCardiovascular Disease Physician$381.7K$0
    Daniel WalkerTXDermatology Physician$361.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Nathan Graves — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas