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    OpenPayerNPI Medicare & MedicaidTerence Gray
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    Terence Gray — Billing Profile & Reimbursement Data

    NPI 1588604698 · Scarborough, ME · Specialist

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    Terence Gray is a specialist provider located in Scarborough, Maine. 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
    OrganizationTerence Gray
    Address400 Enterprise Dr Ste 101
    CityScarborough
    StateME
    ZIP04074
    TaxonomySpecialist
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicare$150K
    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
    J0585Injection, onabotulinumtoxina, 1 unit13,600$10$68K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$470$14.9K
    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…150$90$13.1K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…30$280$8.3K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…50$140$7.5K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…80$90$6.8K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…20$200$4.7K
    99205The provider sees a new 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 provider…30$150$4.4K
    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$120$4.1K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).20$180$3.6K

    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
    J05851104,630$1$29.5K
    6463582030$290$9.8K
    64483162040$130$7.2K
    992146072,50070$70$7.2K
    6461631050$120$6.7K
    64493212050$120$6K
    9921540878030$100$4.8K
    992131,2982,35050$50$4.3K
    992059026020$140$4K
    6463682030$120$3.7K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy HospitalMEGeneral Acute Care Hospital$0$35.5M
    Can IlyasMEHematology & Oncology Physician$3.2M$0
    David BentonMEHematology & Oncology Physician$2.6M$0
    Matthew DuganMEHematology & Oncology Physician$1.8M$0
    John WintersMEHematology & Oncology Physician$1.5M$0
    Devon EvansMEHematology & Oncology Physician$1.5M$0
    Brian HaneyMEHematology & Oncology Physician$1.2M$0
    Yoko FukudaNHHematology & Oncology Physician$945K$0
    Chiara BattelliMEHematology & Oncology Physician$301K$0
    Stephen ComeauMENephrology Physician$239.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    NordxMEClinical Medical Laboratory$2.4M$21.8M
    New England Life Care, Inc.MEHome Infusion Therapy Pharmacy$0$12.4M
    Northeast Mobile Health ServicesMEAmbulance$930.3K$9.5M
    Choices Are For Everyone, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.7M
    Skilled Care SolutionsMEHome Health Agency$0$6.8M
    Surgi-care, IncMEProsthetic/Orthotic Supplier$0$5.6M
    MainehealthMEFamily Medicine Physician$0$5M
    MainehealthMENeurology Physician$0$4.2M
    MainehealthMECardiovascular Disease Physician$0$3.9M
    Maine Home Care SolutionsMEIn Home Supportive Care Agency$0$3.2M

    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. Maine Distribution
    Terence Gray — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine