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

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

David Grauman (NPI 1508993429)

Field	Value
Entity Type	Individual
Organization	David Grauman
Address	12340 N Eagle Rd
City	Flagstaff
State	AZ
ZIP	86004
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 27, 2007

Payer Source	Total Paid
Medicare	$13.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$70	$8.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$110	$4.6K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	10	$20	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

David Grauman — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	458	10,410	120	$80	$20.6K
99215	183	3,270	50	$120	$11.9K
93288	6	70	30	$30	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$26.1M
North Country Healthcare Inc	AZ	Multi-Specialty Clinic/Center	$0	$15.1M
Technical Resource Management LLC	AZ	Clinical Medical Laboratory	$68.2K	$14.7M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.6M
Guidance Center Inc	AZ	Community/Behavioral Health Agency	$0	$9.2M
Native Americans For Community Action, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$7.9M
Northern Arizona Healthcare Corporation	AZ	Multi-Specialty Clinic/Center	$0	$6M
Kevin Duwe	AZ	Vascular & Interventional Radiology Physician	$857.5K	$8.5K
Ang Chen	AZ	Nephrology Physician	$231.4K	$0
Coconino County	AZ	Public Health or Welfare Agency	$58K	$139K

David Grauman — Billing Profile & Reimbursement Data

Sign up for David Grauman — Billing Profile & Reimbursement Data policy alerts

David Grauman — Billing Profile & Reimbursement Data

Sign up for David Grauman — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References