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

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

Marie Grosh (NPI 1497145601)

Field	Value
Entity Type	Individual
Organization	Marie Grosh
Address	15526 Hilliard Rd
City	Lakewood
State	OH
ZIP	44107
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	January 26, 2015

Payer Source	Total Paid
Medicare	$5.5K
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
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	40	$70	$2.6K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	30	$50	$1.5K
0134A	N/A	20	$40	$620
M0201	Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s)…	10	$40	$460
G0008	Administration of influenza virus vaccine	10	$30	$320

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. Ohio Distribution

Marie Grosh — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99491	23	30	50	$60	$16K
99349	509	700	80	$80	$11.3K
G0008	5,153	5,280	50	$30	$2.1K
M0201	10	10	40	$30	$2K
0134A	405	620	20	$40	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andres Pinto	OH	Oral and Maxillofacial Surgery (Dentist)	$18.9K	$0
Keith Schneider	OH	Oral & Maxillofacial Surgery (D.M.D.)	$4.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fraternal Health Care LLC.	OH	Home Health Agency	$0	$22.8M
First Choice Home Health Of Ohio Inc	OH	Home Health Agency	$0	$16.9M
Gasan Nemr	OH	Internal Medicine Physician	$230.7K	$0
Tom Corrigan	OH	Foot Surgery Podiatrist	$186.8K	$0
Nitin Govani	OH	Internal Medicine Physician	$167.6K	$0
Thomas Emmert	OH	Podiatrist	$85.2K	$0
Andrey Stojic	OH	Neurology Physician	$25.2K	$0

Marie Grosh — Billing Profile & Reimbursement Data

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Marie Grosh — 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