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 1619988144)

Gritman Medical Center Inc is a critical access hospital provider located in Moscow, Idaho. This profile covers 0 Medicare and 117 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Gritman Medical Center Inc
Address	700 S Main St
City	Moscow
State	ID
ZIP	83843
Taxonomy	Critical Access Hospital
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

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

117 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	4,830	$170	$826.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6,380	$80	$536.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3,250	$140	$461.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	3,980	$70	$282.4K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	1,030	$180	$183.7K
99281	The provider sees a patient for the lowest level emergency department visit.	1,740	$90	$149.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,740	$50	$136.8K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	2,110	$50	$105.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,270	$30	$104.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,350	$40	$101.2K

Showing 1–10 of 117

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 — 4 of 25 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

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	40	60	1,080	$110	$595.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	28	80	1,020	$90	$502.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	117	280	1,480	$70	$389.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	110	210	3,020	$50	$389K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	80	880	$70	$265.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	30	40	530	$70	$237.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	18	20	4,340	$10	$236.8K
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…	323	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…	302	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…	68	80	450	$80	$171.3K

Showing 1–10 of 117

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catalyst Medical Group, PLLC	ID	Multi-Specialty Clinic/Center	$0	$11.4M
Cory Brown	WA	Foot & Ankle Surgery Podiatrist	$1.5M	$0
Gritman Medical Center, Inc.	ID	Family Medicine Physician	$0	$1.4M
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

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

Sign up for Gritman Medical Center Inc — Billing Profile & Reimbursement Data policy alerts

Gritman Medical Center Inc — Billing Profile & Reimbursement Data

Sign up for Gritman Medical Center Inc — 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