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

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

Paul Gregory (NPI 1427166453)

Field	Value
Entity Type	Individual
Organization	Paul Gregory
Address	6620 Coyle Ave
City	Carmichael
State	CA
ZIP	95608
Taxonomy	Orthopaedic Trauma Physician
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicare	$70K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	20	$1,000	$21.9K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	20	$930	$20.4K
27244	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using a plate and screws to stabilize the fractured…	10	$940	$13.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$140	$8K
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	$70	$6.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Paul Gregory — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	37	190	20	$890	$16K
27244	2	10	10	$970	$14.5K
99213	15,445	34,660	80	$70	$13.2K
27236	21	140	10	$830	$13.2K
99223	5,467	13,190	50	$140	$11.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Birch	CA	Orthopaedic Surgery Physician	$818K	$0
David Gotham	CA	Orthopaedic Surgery Physician	$111.7K	$0
Jesse Chlebeck	ID	Orthopaedic Surgery Physician	$90.9K	$0
Andrew Swentik	MI	Orthopaedic Surgery Physician	$77.1K	$0
Frederick Tonnos	MI	Orthopaedic Surgery Physician	$71.8K	$0
Shawn Lerew	SD	Orthopaedic Surgery Physician	$45.7K	$0
Jennifer Sharp	CO	Orthopaedic Surgery Physician	$39.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Health	CA	General Acute Care Hospital	$0	$97.3M
Babak Rajabi	CA	Hematology & Oncology Physician	$914.9K	$0
Ram Lalchandani	CA	Hematology & Oncology Physician	$736.2K	$0
Maria Stella Gaerlan	CA	Physical Medicine & Rehabilitation Physician	$569.1K	$0
Christopher Mosley	CA	Diagnostic Radiology Physician	$560.1K	$0
Matthew Wheatley	CA	Radiation Oncology Physician	$542.6K	$0
Bi-valley Medical Clinic, Inc.	CA	Methadone Clinic	$491.5K	$21.8K
Ehsan Hadi	CA	Neurology Physician	$352K	$0
Paul Sasaura	CA	Orthopaedic Surgery Physician	$343.1K	$0
John Kailath	CA	Hematology & Oncology Physician	$283.6K	$0

Paul Gregory — Billing Profile & Reimbursement Data

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Paul Gregory — 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