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

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

David Gross (NPI 1245279959)

Field	Value
Entity Type	Individual
Organization	David Gross
Address	320 E North Ave
City	Pittsburgh
State	PA
ZIP	15212
Taxonomy	Physician Assistant
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicare	$3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
49406	The provider uses imaging guidance to direct a catheter through a small incision in the skin to a peritoneal or retroperitoneal area. Once the catheter is properly positioned, the area is drained.	20	$130	$2.5K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	30	$20	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

David Gross — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
49406	4	30	20	$150	$2.4K
76942	206	540	20	$30	$1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cernostics, Inc.	PA	Clinical Medical Laboratory	$44.5M	$83.5K
Christian Home Healthcare	PA	In Home Supportive Care Agency	$0	$13.7M
West Penn Allegheny Health System Inc.	PA	General Acute Care Hospital	$0	$10.8M
West Penn Allegheny Health System Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Thierry Verstraeten	PA	Ophthalmology Physician	$894.3K	$45K
Robert Lewen	PA	Ophthalmology Physician	$383.8K	$1.1K
Athanasios Colonias	PA	Radiation Oncology Physician	$324.7K	$0
Paul Klepchick	PA	Diagnostic Radiology Physician	$146.7K	$95.6K
Mikhail Chilingaryan	PA	Internal Medicine Physician	$240.2K	$0
Sameer Jain	PA	Orthopaedic Surgery Physician	$198.5K	$0

David Gross — Billing Profile & Reimbursement Data

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David Gross — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References