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

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

William Gruss (NPI 1306982491)

Field	Value
Entity Type	Individual
Organization	William Gruss
Address	6201 N Suncoast Blvd
City	Crystal River
State	FL
ZIP	34428
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicare	$235.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	910	$140	$124.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	850	$60	$53.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	300	$90	$28.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	300	$90	$26.8K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	10	$170	$2.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$90	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

William Gruss — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	2,031	9,970	100	$90	$20.1K
99232	934	13,090	120	$60	$17.5K
99223	9	11,110	60	$130	$12.5K
99239	166	4,170	80	$90	$9.5K
99222	8,688	8,970	30	$100	$6K
99236	123	170	20	$160	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pikeville Medical Center Inc	KY	General Acute Care Hospital	$0	$181.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Pikeville Medical Center Inc.	KY	Multi-Specialty Clinic/Center	$0	$34.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Jefferson Radiology, PC	CT	Diagnostic Radiology Physician	$0	$14M
Rami Sartawi	NY	Vascular & Interventional Radiology Physician	$3.7M	$4.9M
Sujata Gutti	KY	Neurology Physician	$82.9K	$3.7M
Pamela Wells	TN	Diagnostic Radiology Physician	$827K	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Sainath Gaddam	TX	Interventional Cardiology Physician	$251.9K	$538.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kamalesh Amin	FL	Diagnostic Radiology Physician	$629.5K	$0
Vijayasekhara Kalakata	FL	Physical Medicine & Rehabilitation Physician	$509.9K	$0
Tonialatoya Wallace-eley	FL	Anatomic Pathology & Clinical Pathology Physician	$144.8K	$0
Jon Frankel	FL	Anatomic Pathology & Clinical Pathology Physician	$56.3K	$0

William Gruss — Billing Profile & Reimbursement Data

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William Gruss — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References