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

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

Kimberly Gropper (NPI 1548521925)

Field	Value
Entity Type	Individual
Organization	Kimberly Gropper
Address	2329 Oka St
City	Kilauea
State	HI
ZIP	96754
Taxonomy	Clinical Social Worker
NPI Enumerated	June 1, 2012

Payer Source	Total Paid
Medicaid	$126.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,490	$50	$126.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Kimberly Gropper — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	67	440	500	$90	$116.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Hall	CA	Psychiatric/Mental Health Nurse Practitioner	$141.2K	$0
Paige Murphy-floyd	CO	Psychiatric/Mental Health Nurse Practitioner	$120.6K	$0
Deidra Thompson	MS	Psychiatric/Mental Health Nurse Practitioner	$72.8K	$0
Denise Davis-moore	TX	Clinical Social Worker	$67.7K	$0
Janet Kuczmarski	CO	Clinical Psychologist	$61.7K	$0
Mosunmola Popoola	NM	Psychiatric/Mental Health Nurse Practitioner	$50.9K	$0
Mary Blankenship	OR	Psychiatric/Mental Health Nurse Practitioner	$43K	$0
Gina Porter	AL	Clinical Social Worker	$41.4K	$0
Keith Haynie	NM	Psychiatric/Mental Health Nurse Practitioner	$34.4K	$0
Megan Cerney	OH	Clinical Social Worker	$31.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kauai Community Health Alliance	HI	Community Health Clinic/Center	$0	$814.4K
Capelli Corp	HI	Internal Medicine Physician	$0	$195.1K
Thomas Capelli	HI	Internal Medicine Physician	$137.3K	$0

Kimberly Gropper — Billing Profile & Reimbursement Data

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Kimberly Gropper — Billing Profile & Reimbursement Data

Sign up for Kimberly Gropper — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References