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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 Crump (NPI 1285709386)

Field	Value
Entity Type	Individual
Organization	Gary Crump
Address	3430 Newburg Rd
City	Louisville
State	KY
ZIP	40218
Taxonomy	Rheumatology Physician
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

GARY CRUMP is a Rheumatology Physician in LOUISVILLE, KY with $1.9M of lifetime Medicare revenue and no Medicaid billing on file; his NPI was enumerated on 2006-11-22 (~20 years ago), indicating a long-tenured practice. The absence of Medicaid activity makes him effectively a single-payer (Medicare) billing profile at the state level and concentrates reimbursement exposure to the Medicare program.

Revenue is highly concentrated in a small set of biologic drug administration codes: the top 3 Medicare codes (J0129, J0717, J1602) account for 79.7% of this provider's total Medicare revenue. Those three appear individually as J0129 $786.3K (41.1%), J0717 $380K (19.9%), and J1602 $357.8K (18.7%), showing that in-office administration of high-cost injectable biologics is the primary revenue driver.

The mix of top codes (J0129, J0717, J1602, plus meaningful amounts for J3262 and J0897) and the presence of infusion/administration codes suggests a practice model centered on in-office biologic injections and IV infusions for autoimmune and rheumatologic conditions. The infusion administration code 96365 (558 claims, $25.1K, 1.3% of Medicare revenue) and frequent injection code 96372 (571 claims, $5.7K, 0.3%) support an operational focus on parenteral therapy delivery rather than solely office-based evaluation.

Competitive standing on the top biologics is above typical peers but not dominant: J0129 ranks #96 of 1221 providers (92th percentile), J0717 ranks #160 of 848 (81th percentile), and J1602 ranks #108 of 1041 (90th percentile). These percentiles indicate stronger-than-average national activity in abatacept, certolizumab pegol, and golimumab administration, consistent with a notable niche in biologic delivery within rheumatology but not an outlier monopoly.

Two administration codes are statistical high outliers for infusion/injection throughput: 96365 is labeled "notably above typical national volume" (96th percentile) and 96372 is labeled "notably above typical" (98th percentile). Those elevated percentiles point to consistently higher infusion and injection volumes versus national peers, reinforcing that drug administration capacity is a core operational capability.

Traditional office E/M services appear secondary to drug administration: 99214 (254 claims, $21.3K, 1.1% of Medicare revenue) and 99213 (145 claims, $8.4K, 0.4%) are present at reasonable volumes (75th and 70th percentiles respectively) but represent a small share of revenue compared with biologic drug codes. This pattern suggests the practice generates most revenue from biologic therapy provision while maintaining routine follow-up visits for chronic disease management.

The provider shows some product mix beyond the top three biologics—J3262 (tocilizumab) accounts for $169.8K (8.9% of Medicare revenue) and J0897 (denosumab) $69.5K (3.6%)—indicating a portfolio of multiple injectable agents used in treatment. That diversification within injected biologics reduces dependence on any single drug but overall revenue remains concentrated within the biologic/infusion service line.

From a payer-strategy perspective, the combination of $1.9M Medicare revenue, zero Medicaid billing on file, and a long tenure (NPI since 2006-11-22, ~20 years) suggests an established Medicare-focused infusion practice; payers and network managers evaluating capacity or contracting should consider this provider primarily for biologic infusion services rather than broad Medicaid-covered ambulatory care panels.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	23,130	$30	$786.3K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	95,000	$1	$380K
J1602	Injection, golimumab, 1 mg, for intravenous use	35,780	$10	$357.8K
J3262	Injection, tocilizumab, 1 mg	33,960	$10	$169.8K
J3111	Injection, romosozumab-aqqg, 1 mg	9,030	$10	$72.2K
J0897	Injection, denosumab, 1 mg	3,660	$20	$69.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	560	$50	$25.1K
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…	250	$80	$21.3K
76881	In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…	270	$40	$9.9K
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…	150	$60	$8.4K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Gary Crump — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	4	30	9,700	$30	$415.4K
J0717	5	30	46,400	$1	$288.1K
J3262	6	10	33,960	$1	$183.8K
J1602	2	20	11,560	$10	$141.6K
J0897	17	80	2,280	$20	$59.6K
J3111	1	10	4,200	$10	$41.7K
96413	47	50	100	$90	$16.7K
99214	1,728	7,230	110	$70	$14.1K
99213	2,223	7,250	80	$50	$7.7K
96365	2	70	110	$40	$6.4K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Janet Leon	KY	Rheumatology Physician	$3M	$0
Jacquelyn Smith	KY	Rheumatology Physician	$985.3K	$0
John Boone	KY	Rheumatology Physician	$710.4K	$0
Benjamin Boone	KY	Rheumatology Physician	$436K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Freedom Senior Share, LLC	KY	Adult Day Care Clinic/Center	$0	$142.4M
Keystone Services, Inc Dba	KY	Adult Companion	$0	$55.5M
Breaking Barriers Of Ky LLC	KY	Community/Behavioral Health Agency	$0	$15.3M
Alternative Services For Individuals	KY	Adult Mental Health Clinic/Center	$0	$12.3M
Osting Individual And Family Services Inc	KY	Community/Behavioral Health Agency	$0	$9.6M
Bluegrass Counseling Associates	KY	Clinical Social Worker	$0	$9.4M
Kentucky Case Management, LLC	KY	Case Management Agency	$0	$9.3M
Meeting Challenges LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.4M
Active Day Ky, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$6.1M
Board Of Education Of Jefferson County Kentucky	KY	Local Education Agency (LEA)	$0	$4.9M

Gary Crump — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References