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

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

Gary Gregerson, M.d., P.A. (NPI 1255762506)

Field	Value
Entity Type	Organization
Organization	Gary Gregerson, M.d., P.A.
Address	1611 12th Ave Rd
City	Nampa
State	ID
ZIP	83686
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	December 11, 2013

Payer Source	Total Paid
Medicaid	$429.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 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…	3,030	$90	$260.3K
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…	1,100	$60	$69K
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…	460	$110	$52.9K
J0287	Injection, amphotericin b lipid complex, 10 mg	120	$240	$28.3K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	60	$120	$6.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	480	$10	$5.3K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	690	$1	$2.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	20	$90	$1.9K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	540	$1	$1.1K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	10	$80	$1.1K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Gary Gregerson, M.d., P.A. — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

17 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…	282	670	740	$40	$193.6K
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…	123	620	560	$60	$191.8K
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…	34	140	100	$90	$54.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	29	30	290	$60	$52.3K
J0287	Injection, amphotericin b lipid complex, 10 mg	1	10	120	$240	$28.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	36	130	110	$10	$6.5K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	51	60	140	$10	$4.6K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	33	100	260	$1	$2.8K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	2	10	40	$30	$1.4K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	13	20	50	$10	$1.3K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gary Gregerson, M.d., P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jillian Vaughan	ID	Family Nurse Practitioner	$49.8K	$0
Gary Gregerson	ID	Specialist	$13.2K	$0

Nearby Providers

Other providers in the same ZIP code as Gary Gregerson, M.d., P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A&r Case Management	ID	Case Management Agency	$0	$18.1M
High Valley Developmental	ID	Developmentally Disabled Services Day Training Agency	$0	$15.5M
Nampa School District #131	ID	Local Education Agency (LEA)	$0	$15.2M
The Lilypad, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Witco, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Allegiant Health LLC	ID	In Home Supportive Care Agency	$0	$6.9M
Vics Family Pharmacy Inc	ID	Pharmacy	$28.2K	$4.9M
Children's Dentistry Of Idaho, PLLC	ID	Pediatric Dentistry	$0	$3.9M
Idaho Dental Aid PLLC	ID	Dentist	$0	$3.6M
All For One, LLC	ID	Case Management Agency	$0	$2.5M

Gary Gregerson, M.d., P.A. — Billing Profile & Reimbursement Data

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Gary Gregerson, M.d., P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References