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    OpenPayerNPI Medicare & MedicaidMack Groves
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    Mack Groves — Billing Profile & Reimbursement Data

    NPI 1265460877 · Covington, LA · Primary Podiatric Medicine Podiatrist

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    Mack Groves is a primary podiatric medicine podiatrist provider located in Covington, Louisiana. This profile covers 16 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
    OrganizationMack Groves
    Address323 S Tyler St
    CityCovington
    StateLA
    ZIP70433
    TaxonomyPrimary Podiatric Medicine Podiatrist
    NPI EnumeratedJune 30, 2006

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

    Payer SourceTotal Paid
    Medicare$81K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…410$60$24.8K
    99203The provider sees a new 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 provider…220$70$15.2K
    99204The provider sees a new 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 provider…80$120$9.8K
    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…90$90$8.6K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.160$40$6.6K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.40$110$3.7K
    73600In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle.130$20$2.9K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.130$20$2.5K
    29405The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…50$50$2.3K
    10160The provider inserts a needle into a fluid deposit area on the skin and aspirates fluid or pus to obtain a culture.20$90$1.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,5316,670110$80$16.5K
    10160210190$80$15.5K
    1172193110170$30$9.2K
    992135136,06070$50$8.1K
    992044143,19030$110$4.8K
    11750205030$100$3.5K
    99203232,10030$70$3K
    992121,0401,16030$30$2.3K
    205501016030$30$2.3K
    2940521020$60$1.5K

    Showing 1–10 of 16

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Tammany Parish Hospital Service District No 1LAGeneral Acute Care Hospital$0$16.5M
    Regional Radiology, LLCLADiagnostic Radiology Physician$0$15.6M
    Avenues Recovery Center At CovingtonLASubstance Abuse Rehabilitation Facility$0$15.4M
    Right Hand Senior Care LLCLAIn Home Supportive Care Agency$0$13.5M
    Easter Seals Louisiana Inc.LACase Management Agency$0$11.4M
    Pontchartrain Pediatrics LLCLAPediatrics Physician$0$11.3M
    Townsend Recovery Center New Orleans, LLCLASubstance Abuse Rehabilitation Facility$0$10.8M
    Quality Support Coordination IncLACase Management Agency$0$10M
    St Tammany Emergency Physicians Group LLCLAEmergency Medicine Physician$0$9.2M
    Start CorporationLAFederally Qualified Health Center (FQHC)$0$7.5M

    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. Louisiana Distribution
    Mack Groves — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana