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

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

Tate Grimes (NPI 1477588200)

Field	Value
Entity Type	Individual
Organization	Tate Grimes
Address	8140 Walnut Hill Ln
City	Dallas
State	TX
ZIP	75231
Taxonomy	Sleep Medicine (Family Medicine) Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicare	$642.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	1,040	$270	$281K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	930	$270	$251.6K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	420	$110	$45.3K
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…	400	$90	$37.9K
99203	The provider sees a new 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 provider…	240	$90	$20.1K
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…	110	$70	$7.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Tate Grimes — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,007	32,500	110	$80	$17.6K
95811	1	250	40	$250	$15.7K
95810	1	250	40	$240	$13.2K
99213	11,333	29,790	70	$60	$8.4K
95800	3	180	40	$90	$7K
99203	159	10,820	30	$70	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dallas Independent School District	TX	Local Education Agency (LEA)	$0	$22.6M
North Star Home Health Care Inc	TX	Personal Care Attendant	$0	$10.8M
Ophthalmology Surgery Center Of Dallas, LLC	TX	Ambulatory Surgical Clinic/Center	$8.3M	$134.6K
Ashkan Abbey	TX	Ophthalmology Physician	$6.4M	$0
Lori Coors	TX	Ophthalmology Physician	$5.2M	$0
Andrew Mcclellan	TX	Ophthalmology Physician	$4.5M	$0
Timothy Fuller	TX	Ophthalmology Physician	$3.5M	$0
Robert Wang	TX	Ophthalmology Physician	$3.5M	$0
Diana Laura	TX	Ophthalmology Physician	$2.3M	$0
Deborah Chong	TX	Ophthalmology Physician	$2.3M	$0

Tate Grimes — Billing Profile & Reimbursement Data

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Tate Grimes — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References