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    Joseph Grisetti — Billing Profile & Reimbursement Data

    NPI 1629505862 · Hardy, VA · Family Nurse Practitioner

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    Joseph Grisetti is a family nurse practitioner provider located in Hardy, Virginia. This profile covers 11 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Grisetti
    Address13205 Booker T Washington Hwy
    CityHardy
    StateVA
    ZIP24101
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 18, 2017

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

    Payer SourceTotal Paid
    Medicare$313.7K
    Medicaid$10.1K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg19,250$10$96.2K
    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…1,130$80$84.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…1,130$40$47.5K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose260$100$26.8K
    J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg1,630$10$21.2K
    99203The provider sees a new 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 provider…150$60$8.9K
    99213The 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…140$60$8.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…190$40$7K
    73565In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in…90$20$1.7K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.60$20$1.2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73202201,860$10$30.2K
    J732213401,300$10$20.1K
    J732466080$100$11K
    992134,53012,44090$60$10K
    77002422030$70$6.7K
    2061051,16060$50$6.1K
    992032974,92030$70$3.8K
    992121652,83030$40$2.3K
    7356564030$30$1.9K
    9921135748030$20$1.1K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…130$60$7.6K
    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…20$80$1.7K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.70$10$840

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,1343,520370$70$280.7K
    99213The 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…2,5724,010290$50$199.8K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.623920180$10$20K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carilion Medical CenterVAMulti-Specialty Clinic/Center$0$73.4M
    Carilion Healthcare CorporationVAMulti-Specialty Clinic/Center$0$26.1M
    Carilion Medical CenterVAEmergency Medicine Physician$0$18.1M
    Carilion Emergency Services, Inc.VAUrgent Care Clinic/Center$0$11.1M
    John MarshVAFamily Medicine Physician$457.4K$5.1K
    Rahul SharmaAZInterventional Cardiology Physician$392.9K$0
    Ahmet BurakgaziMANeurology Physician$289.7K$0
    Alan McluckieVAInterventional Cardiology Physician$273.7K$0
    Mark SchmidtVAUrology Physician$267K$520
    Susan DorseyVASpecialist$251.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Med-trans CorporationVAAir Ambulance$949K$2.1M
    Jamie MartinVAPhysician Assistant$285.5K$0

    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. Virginia Distribution
    Joseph Grisetti — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Joseph Grisetti — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia