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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Grib (NPI 1356328009)

Field	Value
Entity Type	Individual
Organization	John Grib
Address	918 Jasper St
City	Kalamazoo
State	MI
ZIP	49001
Taxonomy	Social Worker
NPI Enumerated	December 23, 2005

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	16,100	$530	$8.5M
S5170	Home delivered meals, including preparation; per meal	36,620	$10	$402.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

Claims Volume vs. Michigan Distribution

John Grib — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	17	40	3,310	$490	$9.4M
S5170	Home delivered meals, including preparation; per meal	20	40	43,690	$20	$1.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kalamazoo County Community Mental Health Authority	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$106.9M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$46.7M
Family Health Center, Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Victory Clinical Services LLC	MI	Multi-Specialty Clinic/Center	$197.6K	$19.2M
Community Living Options	MI	Community/Behavioral Health Agency	$0	$11.1M
Mrc Industries Incorporated	MI	Developmentally Disabled Services Day Training Agency	$0	$10.7M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.3M
Family & Children Services	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.3M
Douglas Brewer	MI	Podiatrist	$32.7K	$0

John Grib — Billing Profile & Reimbursement Data

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John Grib — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References