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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Gruszynski
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    Mark Gruszynski — Billing Profile & Reimbursement Data

    NPI 1396188033 · Paradise Valley, AZ · Plastic and Reconstructive Surgery Physician

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    Mark Gruszynski is a plastic and reconstructive surgery physician provider located in Paradise Valley, Arizona. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Gruszynski
    Address5410 N Scottsdale Rd Ste A200
    CityParadise Valley
    StateAZ
    ZIP85253
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedApril 11, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$470.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15004The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…400$300$121.8K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…140$710$98.7K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…120$360$44.8K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.80$590$44K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.50$770$40.6K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.50$830$39.2K
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.40$650$24.7K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…30$590$18.8K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.20$770$17.7K
    15240This code is for a free full–thickness skin graft of the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet that is 20 cm2 or less in size.10$720$8.6K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    14301124040$730$74.9K
    1404125020$670$27K
    1406173030$680$26.6K
    15260275020$690$23.5K
    14040195030$550$20.9K
    1406067020$560$18.9K
    131323012050$220$18.7K
    1500433020$180$16.4K
    1402152020$630$16.3K
    1524051020$600$13.3K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regents Univ Of Calif Los AngelesCAGeneral Acute Care Hospital$0$41.5M
    The Regents Of The University Of CaliforniaCAInternal Medicine Physician$0$35.9M
    Sujit IttyAZOphthalmology Physician$6.2M$11.3K
    Brian DicarloCAHematology & Oncology Physician$4.7M$0
    Daniel GreenwaldCAMedical Oncology Physician$3.5M$0
    Samuel SlomowitzCAHematology & Oncology Physician$3.4M$0
    Bartosz ChmielowskiCAHematology & Oncology Physician$3.2M$0
    Julian DavisCAHematology & Oncology Physician$2.7M$0
    Thomas HanscomCAOphthalmology Physician$2.4M$0
    Maria Conrica DawisCAAcute Care Nurse Practitioner$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mga Home Healthcare LLCAZHome Health Agency$0$106.5M
    Banner Urgent Care Services, LLCAZUrgent Care Clinic/Center$0$85.2M
    Kelsar Inc.AZIn Home Supportive Care Agency$0$6.7M
    Associated Ophthalmologists LtdAZOphthalmology Physician$0$6.7M
    Farid GheblehAZPulmonary Disease Physician$529.7K$17.3K
    Rajinder GroverAZMedical Oncology Physician$515.1K$0
    Jay AroraAZOphthalmology Physician$320.6K$0
    Gerald AsinAZInternal Medicine Physician$282.1K$0
    Scottsdale Multispecialty Surgery CenterAZAmbulatory Surgical Clinic/Center$269.8K$0
    Walgreen CoAZPharmacy$248K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Mark Gruszynski — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona