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    OpenPayerNPI Medicare & MedicaidAaron Grotas
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    Aaron Grotas — Billing Profile & Reimbursement Data

    NPI 1518092048 · Hewlett, NY · Urology Physician

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    Aaron Grotas is a urology physician provider located in Hewlett, New York. This profile covers 35 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAaron Grotas
    Address1800 Rockaway Ave
    CityHewlett
    StateNY
    ZIP11557
    TaxonomyUrology Physician
    NPI EnumeratedFebruary 23, 2007

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

    Payer SourceTotal Paid
    Medicare$393.7K
    Medicaid$78.5K

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…810$100$83.1K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…450$140$60.9K
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…60$770$42.5K
    51792This procedure measures the electrical activity in the anal or urethral sphincter muscles.160$260$42.4K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.200$130$26.6K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…80$350$26.3K
    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…130$140$19.2K
    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…190$70$13.5K
    76870The provider performs an ultrasound of the scrotal pouch that contains the male testicles to assess disorders of testes, the organs that produce sperm in males.130$90$12K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…110$100$11.6K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J34901012060$470$50.8K
    52224104020$680$25K
    51792320110$230$23.2K
    992141,20930,45090$100$19K
    517282817030$310$16K
    992138,21231,44080$70$12.1K
    9397531433030$190$11K
    93976521030$110$8.1K
    844431,4751,51090$20$7.9K
    768721830030$110$6.9K

    Showing 1–10 of 35

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,150$40$43.5K
    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…840$30$23.5K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…90$100$8.8K
    99203The 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…40$70$2.3K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…170$1$170
    1036FN/A450$0$0
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…80$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications30$0$0
    G8484Influenza immunization was not administered, reason not given30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7,12819,110360$70$321K
    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…3,72816,550220$90$186.8K
    99203The 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…3,4084,700130$100$136.6K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…187290240$130$131.3K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…453730450$1$7.6K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…6671,60050$10$1.2K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications1,7132,000210$1$90
    1036FN/A5581,770150$1$50
    G8484Influenza immunization was not administered, reason not given8812070$1$10

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mount Sinai HospitalNYGeneral Acute Care Hospital$0$278.8M
    Allied Physicians Group, PLLCNYPediatrics Physician$0$34M
    Icahn School Of Medicine At Mount SinaiNYCardiovascular Disease Physician$0$21.7M
    Mount Sinai Medical Center Of Florida, IncFLGeneral Acute Care Hospital$0$18.3M
    David CohenNYDermatology Physician$352K$8.4M
    Daniel SimonNJVascular & Interventional Radiology Physician$4.2M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Amit ShahNYVascular Surgery Physician$3.6M$74.2K
    Michael LiouNYInterventional Cardiology Physician$947.3K$2.6M
    Karthik GujjaNYCardiovascular Disease Physician$2.9M$394.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-med Home Care Services, Inc.NYHome Health Agency$0$286M
    Tri-med Staffing, Inc.NYHome Health Agency$0$180.3M
    Sergio SokolNYCardiovascular Disease Physician$1.8M$5.7M
    Jordan BrodskyNYRheumatology Physician$2.4M$440
    Michael SingerNYDiagnostic Radiology Physician$1.2M$0
    Rana MongrooNYRheumatology Physician$954.4K$0
    Benjamin LevineNYRheumatology Physician$933.1K$330
    Tobin AbrahamNYRheumatology Physician$842.8K$160
    Asaf KleinNYRheumatology Physician$826.7K$13.2K
    Sheldon PikeNYUrology Physician$327.7K$198.6K

    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. New York Distribution
    Aaron Grotas — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Aaron Grotas — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York