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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicholas Grimaldi
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    Nicholas Grimaldi — Billing Profile & Reimbursement Data

    NPI 1528080777 · Columbia, SC · Orthopaedic Surgery Physician

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    Nicholas Grimaldi is a orthopaedic surgery physician provider located in Columbia, South Carolina. This profile covers 22 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
    OrganizationNicholas Grimaldi
    Address114 Gateway Corporate Blvd Ste 240
    CityColumbia
    StateSC
    ZIP29203
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$194.8K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22514The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…20$4,020$88.5K
    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…280$90$24.6K
    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…250$60$15.4K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…10$950$10.4K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…10$950$10.4K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…50$170$8.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…120$40$5.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$100$4.5K
    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…40$110$4.4K
    27093In this procedure, the provider injects contrast material into a hip joint for hip arthrography, an X–ray examination of the hip joint. He performs this procedure without administration of anesthesia…20$160$3.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744727322040$1,090$61.9K
    2713016415040$1,060$44.7K
    623238413080$160$28.8K
    992142,9697,860160$80$23.2K
    992131,8777,690100$60$10.8K
    270967912050$130$8.1K
    2061035781070$50$7.3K
    992042,4034,52040$110$6.4K
    2251431010$350$4.9K
    992227211,83030$90$4.2K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Musc Community PhysiciansSCInternal Medicine Physician$0$16.7M
    Musc Community PhysiciansSCFamily Medicine Physician$0$5.6M
    Charles ButlerSCInternal Medicine Physician$3.8M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Aaron FlandersFLHematology & Oncology Physician$3.5M$0
    Woodrow CokerSCHospitalist Physician$2.6M$0
    Scott SommersSCHematology & Oncology Physician$2.3M$0
    Mohamed El GeneidySCHematology & Oncology Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$74.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$68.3M
    South Carolina Department Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$36M
    Carolina Pediatrics & Adolescent Care, PASCPediatrics Physician$0$12.3M
    Sc House Calls IncSCFamily Medicine Physician$0$11.6M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$7.4M
    Prisma Health-midlandsSCEmergency Medicine Physician$0$6.8M
    Prisma Health Medical Group-midlandsSCDevelopmental - Behavioral Pediatrics Physician$0$5.9M

    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. South Carolina Distribution
    Nicholas Grimaldi — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina