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

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

J. Gregory King (NPI 1548225857)

Field	Value
Entity Type	Individual
Organization	J. Gregory King
Address	655 Main St
City	Bennington
State	VT
ZIP	05201
Taxonomy	Family Medicine Physician
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicare	$175K
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practitioner: total Medicare revenue is $175K and there is no Medicaid billing on file, indicating no recorded Medicaid activity for this NPI. The practice’s billed services and revenue are therefore concentrated in the Medicare population rather than split across payers.

Revenue is highly concentrated in a few evaluation-and-management and prolonged-service codes: the precomputed top‑3 Medicare codes account for 59.6% of this provider’s total Medicare revenue, driven by 99215 (45.6%), G0439 (7.4%), and G2212 (6.6%). This concentration signals that a small set of visit types dominate the practice’s Medicare revenue.

The code mix reflects a family medicine practice oriented toward complex, longitudinal outpatient management and preventive work: 99215 (high‑complexity established office visits) is the single largest revenue driver, while G0439 (annual wellness visits) and G2212 (prolonged E/M time) together suggest the practice delivers extended visit encounters and Medicare preventive services. These codes are consistent with a primary care model that manages medically complex older adults.

Beyond office visits, the provider bills for nursing facility and prolonged nursing facility services (99310 at 3.1% and G0317 at 1.5%), indicating active engagement in skilled nursing or long‑term care settings. Immunizations are also a meaningful revenue stream — 91320 (5.1%), 90662 (4.5%), and 90677 (3.9%) — showing routine preventive vaccine administration to the Medicare population.

The practice also documents chronic disease monitoring and diagnostic support through CGM interpretation and lab testing: 95251 (0.8%), 83036 (0.7%), 80061 (0.7%), and 82947 (0.1%) are present in the top codes, which aligns with ongoing diabetes and lipid management workflows typical of family medicine caring for older adults. These services complement the high‑complexity office visits in the revenue mix.

On competitive standing, this provider is a high outlier for high‑complexity visit volume: 99215 ranks #1024 of 145531 providers nationally (99th percentile; extreme outlier), and G2212 ranks #133 of 6857 (98th percentile; notably above typical national volume). By contrast, G0439 ranks #32659 of 105855 (69th percentile; typical, unremarkable volume), so the provider is unusually concentrated at the top end for complex visits and prolonged E/M but more typical for annual wellness visits.

Operationally, the unusually large volume of 99215 claims combined with substantial use of G2212 implies consistently longer or more medically complex encounters per patient — a scheduling and staffing pattern that supports extended visit times and intensive visit documentation. This pattern may reflect a complex patient panel or practice style that prioritizes extended in‑person evaluation for Medicare beneficiaries.

The provider has long tenure in the Medicare program, enumerated since 2006-04-19 (~20 years ago), which suggests these billing patterns are developed within an established practice rather than a new or transient operation; tenure supports continuity in the provider’s service mix and payer relationships.

Medicare: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	640	$130	$79.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	$130	$12.9K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	480	$20	$11.5K
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	$90	$11.1K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	70	$130	$9K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	110	$70	$7.8K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$6.8K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	50	$110	$5.3K
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…	90	$60	$5.1K
G0008	Administration of influenza virus vaccine	140	$30	$4.1K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

J. Gregory King — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	24	60	40	$130	$18.1K
99214	391	960	90	$70	$10.6K
G0439	48	240	50	$120	$8.3K
90480	70	110	130	$40	$7.8K
99310	14	30	50	$100	$7.8K
99215	2	410	40	$110	$7.2K
90677	28	80	20	$270	$6.8K
99213	438	910	80	$50	$6.7K
90662	32	140	50	$70	$6.1K
G0008	63	170	70	$20	$3.5K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care Health Partners - Vermont LLP	VT	Family Medicine Physician	$0	$2.8M
Lorne Babb	VT	Family Medicine Physician	$98.7K	$0
Stewart Manchester	VT	Family Medicine Physician	$86.4K	$0
Terri Nielsen	VT	Family Medicine Physician	$84.7K	$0
Tina D'amato	VT	Family Medicine Physician	$82.6K	$0
Toby Sadkin	VT	Family Medicine Physician	$61.5K	$0
Camille Zentkovich	VT	Family Nurse Practitioner	$34.1K	$0
Kathleen Burgess	VT	Family Medicine Physician	$30.4K	$0
Sarah Owen	VT	Family Nurse Practitioner	$13K	$0

Nearby Providers

Other providers in the same ZIP code as J. Gregory King, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Counseling Service Of Bennington County, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$72.5M
Vermont Permanency Initiative, Inc.	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$27.9M
Savida Health, PC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$12M
Sunrise Family Resource Center	VT	Social Worker	$0	$7M
Seall Inc	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$6.6M
United Counseling Service Of Bennington County, Inc.	VT	Clinic/Center	$0	$6M
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Town Of Bennington Rescue Squad, Inc.	VT	Land Ambulance	$683.4K	$2.7M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Oral And Facial Surgery Associates,plc	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M

J. Gregory King — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References