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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrank Grisafi
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    Frank Grisafi — Billing Profile & Reimbursement Data

    NPI 1487865994 · Beaver, PA · Orthopaedic Surgery of the Spine Physician

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    Frank Grisafi is a orthopaedic surgery of the spine physician provider located in Beaver, Pennsylvania. This profile covers 6 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
    OrganizationFrank Grisafi
    Address1030 Beaner Hollow Rd
    CityBeaver
    StatePA
    ZIP15009
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMay 25, 2007

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

    Payer SourceTotal Paid
    Medicare$44.5K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$1,120$19K
    99214The 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…120$70$8.5K
    99204The provider sees a new 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 provider…70$100$6.8K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$200$5.6K
    99213The 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…70$40$2.9K
    20931A provider uses a structural allograft, a type of donor bone, to fill in bony defects as she performs a spinal surgery procedure.20$90$1.6K

    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

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,65123,230100$80$14.5K
    22558123020$670$12.7K
    9921311,37622,37070$60$7.7K
    228535710030$160$6.1K
    992041,73410,29030$110$5K
    2093141020$90$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Triad Health Services, LLCOHPlastic Surgery Physician$0$6.9M
    Shaju ShamsuddinOHRadiation Oncology Physician$333.9K$0
    Magdy IskanderOHRheumatology Physician$327.3K$0
    Douglas KeyserOHRadiation Oncology Physician$277.6K$0
    Rashad El-dabhOHRadiation Oncology Physician$277.5K$0
    Dung NguyenOHRadiation Oncology Physician$231.7K$0
    Dwight HeronOHRadiation Oncology Physician$227.3K$0
    Carl PetersonOHRadiation Oncology Physician$174.6K$0
    Michael DerosaOHEndocrinology, Diabetes & Metabolism Physician$173.3K$0
    Munir AhmadOHRadiation Oncology Physician$150.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adapthealth Patient Care Solutions LLCPADurable Medical Equipment & Medical Supplies$0$93.6M
    Valley Medical Facilities IncPAGeneral Acute Care Hospital$0$10.3M
    Western Pennsylvania Psych Care, Inc.PAPsychiatry Physician$0$8.1M
    Non Profit Emergency Services Of Beaver CountyPALand Ambulance$694.7K$5.7M
    Arthur BrantPAOphthalmology Physician$370.5K$107.1K
    Sarmad AshfaqPAHospitalist Physician$347K$97K
    Felice EspositoPADiagnostic Radiology Physician$153.2K$212.3K
    Carolyn ChenPAAnatomic Pathology & Clinical Pathology Physician$105.4K$71K
    Upmc/hvhs Cancer CenterPAMobile Radiology Clinic/Center$153.8K$0
    Samuel YakishPACardiovascular Disease Physician$113.9K$15.4K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Frank Grisafi — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania