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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Linda Grimes (NPI 1598010803)

Field	Value
Entity Type	Individual
Organization	Linda Grimes
Address	3201 Edwards Mill Rd Ste 141
City	Raleigh
State	NC
ZIP	27612
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	July 24, 2012

Payer Source	Total Paid
Medicare	$171.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,160	$70	$77.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	420	$120	$51.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	640	$50	$30.3K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	110	$80	$8.8K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	40	$50	$1.6K
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…	10	$100	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Linda Grimes — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	76	900	260	$70	$31.2K
99349	312	600	120	$80	$24.1K
99308	83	740	130	$50	$13.5K
99310	438	470	50	$100	$10.5K
90792	2	330	30	$120	$6K
99348	297	430	60	$50	$5.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inpatient Consultants Of North Carolina, PC	NC	Internal Medicine Physician	$0	$12.1M
Tamara Chittenden	NC	Internal Medicine Physician	$371.4K	$0
Blair Holl	NC	Internal Medicine Physician	$327.7K	$0
Brandon Haubner	NC	Family Medicine Physician	$301.7K	$0
Fay Bembry	TN	Psychiatric/Mental Health Nurse Practitioner	$207K	$57.1K
Natasha Hart	VA	Psychiatric/Mental Health Nurse Practitioner	$233.6K	$0
Rabi Kutob	NC	Family Medicine Physician	$222.8K	$0
John Geary	VA	Family Nurse Practitioner	$221.4K	$0
John Nelson	NC	Family Medicine Physician	$214.5K	$0
Pamela Harris	NC	Family Medicine Physician	$197.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$15.9M
Omni Family Of Services North Carolina Inc.	NC	Community/Behavioral Health Agency	$0	$10.7M
Pacific Staffing Inc	NC	In Home Supportive Care Agency	$0	$10M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$9.3M
Community Connections Healthcare Services, LLC	NC	Clinical Social Worker	$0	$9.2M
Wp-raleigh Health Holdings, LLC	NC	Adult Care Home Facility	$0	$8.7M
A. Silvia Ross	NC	Specialist	$1.9M	$0
Orthopaedic Surgery Center Of Raleigh LLC	NC	Orthopaedic Surgery Physician	$1.1M	$0
Sherry Sinclair	NC	Specialist	$905.3K	$0
Priority Care Ambulance Inc.	NC	Land Ambulance	$687.3K	$154.3K

Linda Grimes — Billing Profile & Reimbursement Data

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Linda Grimes — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References