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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

John Grogan (NPI 1326006727)

Field	Value
Entity Type	Individual
Organization	John Grogan
Address	912 2nd St Ne
City	Hickory
State	NC
ZIP	28601
Taxonomy	Podiatrist
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicare	$103.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	490	$70	$36.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	200	$90	$18.5K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	180	$80	$13.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	280	$40	$11.2K
28190	The provider removes a foreign body, which is situated beneath the skin in the subcutaneous tissue, from the foot.	60	$170	$10.1K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	90	$70	$6.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	110	$50	$5.2K
11732	The provider removes part or all of an additional nail plate after the first using simple avulsion techniques.	110	$20	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

John Grogan — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
28190	1	10	60	$170	$10.1K
17110	193	730	100	$70	$9.8K
11042	78	330	90	$60	$9K
97597	44	200	40	$50	$3.1K
11730	1	90	20	$80	$2.3K
99212	76	2,890	30	$30	$2.1K
99202	16	700	20	$40	$1.3K
11732	1	10	20	$20	$700

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health & Home Services, Inc.	NC	Nursing Care Agency	$0	$16.8M
Home Rule LLC	NC	Nursing Care Agency	$0	$10M
Dlp Frye Regional Medical Center LLC	NC	General Acute Care Hospital	$0	$8.8M
The Childhealth Center, PA	NC	Pediatrics Physician	$0	$8.1M
Little Angels Therapy, Inc.	NC	Physical Therapist	$0	$8M
Viewmont Surgery Center, LLC	NC	Ambulatory Surgical Clinic/Center	$708.4K	$2.5M
Gastroenterology Associates PA	NC	Ambulatory Surgical Clinic/Center	$529.6K	$102.2K
Michael Desantis	NC	Family Medicine Physician	$260.1K	$0
Joshua Brown	NC	Physical Medicine & Rehabilitation Physician	$254.7K	$0
Gregory Pisel	NC	Nephrology Physician	$249.6K	$0

John Grogan — Billing Profile & Reimbursement Data

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John Grogan — 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