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

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

Major Gross (NPI 1326035387)

Field	Value
Entity Type	Individual
Organization	Major Gross
Address	2620 Wheaton Way
City	Bremerton
State	WA
ZIP	98310
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicare	$238.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

18 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…	1,280	$80	$105.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	440	$130	$56.8K
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…	100	$130	$12.6K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	330	$40	$12.1K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	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…	100	$60	$6.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	120	$50	$5.2K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	30	$160	$5.2K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	$160	$4.7K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	130	$30	$3.9K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Major Gross — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99458	18	40	120	$30	$14.9K
99457	10	50	140	$40	$13.9K
99214	64	10,860	100	$80	$13.6K
99454	10	50	120	$40	$10.4K
G0439	6	2,390	50	$130	$9.7K
99490	64	140	100	$40	$8.9K
17000	394	510	160	$40	$8.5K
99215	812	4,320	40	$120	$8.4K
99439	60	70	170	$30	$7.8K
99213	3,157	9,690	60	$60	$6.5K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Commonspirit Washington Community Care	WA	General Acute Care Hospital	$0	$66.2M
Valley Medical Group-renton	WA	General Acute Care Hospital	$0	$28.3M
Multicare Health System	WA	Family Medicine Physician	$0	$25.8M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$7.7M
Franciscan Health System	WA	Internal Medicine Physician	$0	$6.4M
Pacmed Clinics	WA	Multi-Specialty Clinic/Center	$0	$4.5M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$4.5M
Manoj Agarwal	WA	Medical Oncology Physician	$1M	$0
Daniel Kim	WA	Rheumatology Physician	$1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Services Cooperative	WA	Clinical Medical Laboratory	$2.2K	$64M
Olympic Ambulance Service Inc.	WA	Land Ambulance	$6M	$14.9M
Matthew Callan	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$5.4M
Baart Behavioral Health Services, Inc.	WA	Substance Use Disorder Rehabilitation Clinic/Center	$133.9K	$701.3K
Manas Jain	WA	Urology Physician	$489.2K	$0
Satyavardhan Pulukurthy	WA	Interventional Cardiology Physician	$394.9K	$0
Christopher Johnson	WA	Cardiovascular Disease Physician	$361.2K	$0
Gary Gretch	WA	Internal Medicine Physician	$315.7K	$0
Kenton Sorensen	WA	Ophthalmology Physician	$312.2K	$0
Ravi Kilaru	WA	Cardiovascular Disease Physician	$287.9K	$0

Major Gross — Billing Profile & Reimbursement Data

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Major Gross — 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