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

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

Ryan Grover (NPI 1346251287)

Field	Value
Entity Type	Individual
Organization	Ryan Grover
Address	421 South Main Street
City	Crossville
State	TN
ZIP	38555
Taxonomy	Radiation Oncology Physician
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

This provider’s billing footprint is effectively single‑payer: total Medicare revenue is $2.2M while there is no Medicaid billing on file. Analysts should treat Medicare as the dominant and sole recorded source of public-payer revenue when assessing payer mix and contracting exposure for this NPI.

Revenue is highly concentrated in a very small set of procedure codes: the precomputed top three Medicare codes account for 90.1% of the provider’s total Medicare revenue. In particular, 77523 alone drives the bulk of receipts with 2.1K claims, $865 avg paid/claim and $1.8M revenue (80.8% of Medicare revenue), followed by G6002 with 2.1K claims, $53 avg paid/claim and $110.8K revenue (5.0%), and 77301 with 73 claims, $1321 avg paid/claim and $96.4K revenue (4.3%).

The mix of high-volume technical radiation codes indicates a practice centered on advanced external-beam therapy rather than broad ambulatory medicine. The prominence of 77523 (proton beam technical component), high utilization of G6002 (stereoscopic x‑ray guidance), and presence of 77301 (IMRT planning) point to an operation focused on specialized radiotherapy delivery and image guidance workflows rather than routine primary-care services.

Competitive standing is strong for a narrow specialty: 77523 ranks #4 of 111 providers nationally (97th percentile), a notable position among the relatively small group billing that code, and G6002 ranks #13 of 2280 providers (99th percentile) where the report labels the provider an "extreme outlier"—together these ranks indicate market prominence for these specific technical radiation services. By contrast, 77301 ranks #523 of 3815 providers (86th percentile), reflecting solid but less exceptional national volume for IMRT planning.

Clinical service details in the code mix suggest a substantive prostate cancer treatment component: notable billing for 55874 (35 claims, $2073 avg paid/claim, $72.6K revenue, 3.3%) and 55876 (37 claims, $58 avg paid/claim, $2.1K revenue) reflects use of biodegradable spacers and marker placement to separate prostate and rectum and support targeted radiotherapy. These ancillary, procedure-level codes reinforce the interpretation that the provider delivers specialized prostate radiotherapy workflows in addition to general external-beam treatments.

Presence of evaluation-and-management codes alongside high-volume radiation codes shows the practice includes some E/M activity but it is a minor revenue contributor relative to technical therapy. For example, 99205 appears with 97 claims, $154 avg paid/claim and $14.9K revenue (0.7%), and 99213 with 11 claims, $60 avg paid/claim and $660 revenue; these figures indicate E/M visits occur but do not materially drive the practice’s Medicare revenue.

Tenure and credentialing data show an established billing history: the NPI was enumerated on 2006-08-09 (~20 years ago), which supports interpreting current volume patterns as the output of a long-standing practice rather than a newly launched service line. This longevity may reflect sustained investment in the specialized equipment and workflows needed for high-volume proton and image-guided radiotherapy.

From a payer or risk perspective, the provider’s reliance on a single high-revenue code creates concentration risk: since 77523 accounts for 80.8% of Medicare revenue and the top three codes together account for 90.1%, any changes in coverage policy, utilization review, or reimbursement for proton/technical radiation services could materially impact the provider’s Medicare receipts. Additionally, the absence of Medicaid billing on file implies limited exposure to Medicaid rate structures and that contracting or access initiatives with state Medicaid programs would represent a new area of risk or opportunity rather than an existing revenue stream.

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
77523	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…	2,070	$870	$1.8M
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	2,090	$50	$110.8K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	70	$1,320	$96.4K
55874	Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…	40	$2,070	$72.6K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	450	$140	$64K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	440	$60	$26.5K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	420	$50	$20.3K
99205	The provider sees a new 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 provider…	100	$150	$14.9K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	70	$120	$8.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	80	$90	$6.7K

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. Tennessee Distribution

Ryan Grover — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77523	3	10	2,050	$830	$1.7M
55874	6	10	30	$1,760	$65.2K
77427	12	100	200	$140	$33.9K
77301	13	80	40	$600	$30.1K
77336	5	30	220	$60	$15.2K
G6002	3	60	240	$30	$12.6K
77263	49	90	70	$120	$9.5K
77334	71	100	140	$50	$9.2K
99213	10,941	11,030	80	$50	$8K
77300	18	110	210	$30	$6.8K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covenant Medical Group, Inc.	TN	Family Medicine Physician	$0	$17.9M
James Gray	TN	Radiation Oncology Physician	$4.9M	$0
Atul Jain	CA	Ophthalmology Physician	$3.5M	$0
Darren Sigal	CA	Medical Oncology Physician	$2.9M	$0
Han-chih Chang	TN	Radiation Oncology Physician	$2.6M	$0
David Greene	CA	Radiation Oncology Physician	$2.3M	$119.1K
Munveer Bhangoo	CA	Medical Oncology Physician	$2.3M	$0
Michael Samuel	CA	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Iain Macewan	CA	Radiation Oncology Physician	$2.2M	$0
NPI 1063405082	—	—	$2.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hilltoppers, Inc.	TN	Developmentally Disabled Services Day Training Agency	$0	$16.5M
Plateau Pediatrics, Plc	TN	Rural Health Clinic/Center	$0	$10.6M
Cumberland Medical Center, Inc.	TN	General Acute Care Hospital	$0	$6.1M
Cumberland County Finance	TN	Land Ambulance	$1.3M	$3M
Mohammad Koucheki	TN	Pediatrics Physician	$0	$3.2M
William E Smith Obstetrics & Gynecology	TN	Obstetrics & Gynecology Physician	$0	$3M
Michael Patterson	TN	Ophthalmology Physician	$2.9M	$0
Dirk Davidson	TN	Specialist	$2.7M	$0
Cataract And Laser Center, LLC	TN	Ophthalmologic Surgery Clinic/Center	$2M	$164.4K
Sivalingam Kanagasegar	TN	Rheumatology Physician	$1.5M	$46.5K

Ryan Grover — 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