Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeanolivia Grant
    Ask Trek AI about this page

    Jeanolivia Grant — Billing Profile & Reimbursement Data

    NPI 1497994008 · Saipan, MP · Family Medicine Physician

    Customize your policy alerts

    Sign up for Jeanolivia Grant — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jeanolivia Grant is a family medicine physician provider located in Saipan, Northern Mariana Islands. This profile covers 12 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeanolivia Grant
    AddressLower Navy Hill
    CitySaipan
    StateMP
    ZIP96950
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 5, 2009

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

    Payer SourceTotal Paid
    Medicare$228.7K
    Medicaid$0

    Key Findings

    Payer mix and scale: JEANOLIVIA GRANT is effectively a single‑payer Medicare provider with Total Medicare revenue of $228.7K and no Medicaid billing on file. The absence of any Medicaid claims indicates this profile should be evaluated primarily through a Medicare lens rather than a dual‑payer market posture.

    Revenue concentration: the provider’s Medicare revenue is heavily concentrated in a small set of services — the precomputed top three Medicare codes account for 60.9% of total Medicare revenue. Those top contributors are 99308 ($64.5K, 28.2% of Medicare revenue), 11043 ($38.6K, 16.9%), and 11042 ($36.2K, 15.8%), making nursing‑facility E/M and surgical debridement the dominant revenue drivers.

    Business and service‑line implications: the mix of high‑revenue codes (99308, 99309, 99305 and multiple debridement codes 11043, 11042, 11044, plus wound care 97597 and cauterization 17250) indicates the practice operates heavily in post‑acute and wound care settings. This suggests an operational model focused on nursing facility/resident visits and procedural wound debridement/care rather than clinic‑only primary care.

    Competitive standing by code: the provider ranks at different levels across its leading codes — 99308 at 91th percentile (rank #2386 of 25763) is reported as "typical, unremarkable volume for this code", 11043 at the 80th percentile (rank #409 of 2062) is a solid national standing among billers of this surgical debridement, and 11042 at the 94th percentile (rank #677 of 10712) indicates notably strong relative volume for that debridement code. These mixed percentile positions imply the provider is a modest but visible participant nationally for nursing‑facility E/M and a stronger performer on selected wound/debridement procedures.

    Code‑level specialization signals: several procedural codes show above‑average national placement for this provider — 11042 and 17250 are both at the 94th percentile (11042: 517 claims, $70 avg, $36.2K; 17250: 373 claims, $50 avg, $18.7K), signaling a clear emphasis on debridement and granulation tissue cauterization. In contrast, some procedural codes such as 11044 (31 claims, $231 avg, $7.2K) sit lower (35th percentile), reflecting targeted use of more complex debridement less frequently.

    Patient setting mix and outreach: frequent billing for nursing facility E/M codes (multiple 9930x entries) combined with some home/residence visits (99348: 24 claims, $58 avg, $1.4K, 17th percentile) indicates operations focused on on‑site care in congregate/post‑acute settings with occasional home visit activity. This pattern aligns with clinicians who provide longitudinal resident management plus procedure‑based wound care at facilities.

    Tenure and experience: the provider’s NPI was enumerated on 2009‑02‑05 (~17 years ago), indicating a long active enrollment period in Medicare which supports observed recurring billing patterns over time rather than a short‑term spike. That tenure may contribute to established referral or operational relationships within local post‑acute networks.

    Scale versus relative ranking nuance: although some codes appear at high percentiles, the absolute lifetime Medicare revenue of $228.7K is modest; high percentile ranks on individual CPTs therefore reflect relative standing among national filers for those codes rather than large overall revenue scale. Analysts should interpret strong percentile positions alongside the relatively small total Medicare revenue when assessing market impact or competitive positioning.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1,150$60$64.5K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…260$150$38.6K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.520$70$36.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…420$80$33.8K
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.370$50$18.6K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…110$100$11.3K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…30$230$7.2K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…230$30$6.8K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…70$60$4.3K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…40$70$3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043110260$150$38.7K
    11042110520$70$36.2K
    99308110600$60$33.6K
    17250110370$50$18.5K
    99309110220$80$17.4K
    99305110110$100$11.3K
    1104411030$230$7.2K
    99307110230$30$6.8K
    9930411070$60$4.3K
    9759711040$70$3.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vohra Post Acute Care Physicians Of The East, PAFLFamily Medicine Physician$0$10.6M
    Steve TranFLInternal Medicine Physician$3.1M$0
    Kalpesh PurohitSCFamily Medicine Physician$2.1M$0
    Avinash KasturiMDGeneral Practice Physician$936.7K$0
    Patrick FrostFLFamily Medicine Physician$846.9K$0
    Salvador GuerreroMDFamily Medicine Physician$729.6K$0
    Jean-paul WuilleumierGAGeneral Practice Physician$725.8K$0
    John VanaalstKYPlastic and Reconstructive Surgery Physician$672K$0
    Amani HemphillWVFamily Medicine Physician$666.3K$0
    Edward ForeTNFamily Medicine Physician$637K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Mariana Islands GovernmentMPLand Ambulance$180.9K$0
    Keri AllenMPOphthalmology Physician$96.8K$0
    Vicente AldanMPFamily Medicine Physician$87.4K$0
    Ahmad Al-alouMPInternal Medicine Physician$36.1K$0
    Norma AdaMPInternal Medicine Physician$32.8K$0
    Mark RobertsonMPOptometrist$25.8K$0
    David HardtMPOptometrist$24.1K$0
    Donald HardtMPOptometrist$23.9K$0
    Pamela CarhillMPPhysical Therapist$22K$0
    Jiayi KongMPInternal Medicine Physician$21.9K$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. Northern Mariana Islands Distribution
    Jeanolivia Grant — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Northern Mariana Islands