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

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

Gritman Medical Center, Inc. (NPI 1538634522)

Field	Value
Entity Type	Organization
Organization	Gritman Medical Center, Inc.
Address	623 S Main St Ste 1
City	Moscow
State	ID
ZIP	83843
Taxonomy	Family Medicine Physician
NPI Enumerated	October 5, 2018

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	4,650	$140	$651.3K
99213	The 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…	10,440	$40	$407K
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…	3,680	$50	$191.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	610	$100	$58.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	450	$80	$37.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	620	$30	$21.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	460	$20	$8.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	90	$100	$8.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	350	$20	$7.7K
99203	The 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…	220	$30	$7.4K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Gritman Medical Center, Inc. — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	74	140	5,470	$180	$2.6M
99213	The 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…	62	670	740	$40	$193.6K
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…	100	620	560	$60	$191.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	35	80	450	$80	$171.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	40	80	380	$70	$151.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	43	80	130	$80	$91.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	33	80	460	$30	$77.7K
99203	The 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…	83	220	90	$80	$51.4K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	37	60	290	$30	$48.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	34	70	240	$20	$34.3K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gritman Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catalyst Medical Group, PLLC	ID	Multi-Specialty Clinic/Center	$0	$11.4M
Gritman Medical Center Inc	ID	Critical Access Hospital	$0	$3.7M
Cory Brown	WA	Foot & Ankle Surgery Podiatrist	$1.5M	$0
Robert Spady	ID	Internal Medicine Physician	$293.8K	$0
Marvin Kym	ID	Orthopaedic Surgery Physician	$181.1K	$0
Shannon Mortensen	ID	Nurse Practitioner	$105.7K	$0
Jacob Blazzard	WA	Physician Assistant	$100.4K	$0
Leo Chough	ID	Orthopaedic Surgery Physician	$57.3K	$0
Pranabh Shrestha	ID	Pulmonary Disease Physician	$50.3K	$0
Brandy Thompson	ID	Nurse Practitioner	$46K	$0

Nearby Providers

Other providers in the same ZIP code as Gritman Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$7.4M
Disability Action Center - Nw, Inc.	ID	In Home Supportive Care Agency	$0	$3.8M
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Crt Children Services LLC	ID	Behavior Analyst	$0	$2.5M
County Of Latah School District 281	ID	Local Education Agency (LEA)	$0	$2M
Shawn Richards	ID	Ophthalmology Physician	$1.4M	$0
Lotus Early Learning	ID	Developmental Disabilities Clinic/Center	$0	$1.2M
Alyssa Hoehn	ID	Ophthalmology Physician	$1M	$0
Circles Of Caring Adult Day Health Foundation, Inc.	ID	Adult Day Care Clinic/Center	$0	$744.2K
Palouse Area Care & Transport, LLC	ID	Land Ambulance	$315.3K	$392.5K

Gritman Medical Center, Inc. — Billing Profile & Reimbursement Data

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Gritman Medical Center, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References