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

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

Kelleen Graver (NPI 1639518806)

Field	Value
Entity Type	Individual
Organization	Kelleen Graver
Address	111 S Grant Ave
City	Columbus
State	OH
ZIP	43215
Taxonomy	Nurse Practitioner
NPI Enumerated	June 20, 2013

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

This provider’s billing is effectively single-payer: total Medicare revenue is $2.1M while Medicaid revenue is none, indicating no Medicaid billing on file and a heavy operational dependence on Medicare as the revenue source. That concentration means payer negotiations, coverage changes, or Medicare policy shifts would disproportionately affect this practice’s topline.

Revenue concentration is extremely narrow: the precomputed top 3 codes account for 99.2% of the provider’s Medicare revenue, driven by J3111 (69.9% of total Medicare revenue, reported as $1.5M), J0897 (26.3% of total Medicare revenue, reported as $555.1K), and 99214 (3.0% of total Medicare revenue, reported as $62.8K). This means almost all Medicare dollars come from two injectable biologic codes plus routine E/M visits.

The code mix and descriptions point to a service line focused on biologic injections for bone health: J3111 (romosozumab) and J0897 (denosumab) are both high‑value injectable therapies and together dominate billed revenue (J3111: 184.4K claims, $8 avg paid/claim; J0897: 30.8K claims, $18 avg paid/claim). The presence of 99214 (766 claims, $82 avg paid/claim) indicates the provider also bills standard established‑patient office visits, likely to evaluate and manage patients receiving these injections.

Competitive standing is unusually strong for the two primary biologic codes: J3111 ranks #3 of 970 providers nationally (100th percentile; extreme outlier, far above typical national volume) and J0897 ranks #95 of 10057 providers nationally (99th percentile; extreme outlier, far above typical national volume). By contrast, the provider’s 99214 activity ranks #21600 of 479517 (95th percentile; notably above typical national volume), showing that while E/M visits are above typical volume, the provider’s true national prominence is concentrated in the injectable biologic codes.

Several procedure codes are flagged as statistical outliers even if they contribute modest revenue amounts; for example, 96372 is identified as an extreme outlier (1.4K claims, $9 avg paid/claim, $12.5K revenue) despite representing only 0.6% of Medicare revenue. These outlier labels indicate the provider’s operational profile (high-volume injection administration) sits far outside typical national patterns and helps explain the skew toward drug administration revenues.

The provider has an established NPI tenure: enumerated on 2013-06-20 (~13 years ago), which suggests a sustained presence in the market and a track record of delivering the same concentrated service mix over multiple years. Continued longevity combined with the narrow revenue base implies institutional experience with these specific therapies but also potential sensitivity to any shifts in clinical guidelines or reimbursement for those treatments.

From a payer or network perspective, this profile signals a specialized infusion/injection practice where policy changes affecting J3111 or J0897 coverage or payment would materially affect the provider’s financial picture. Given that top codes account for 99.2% of Medicare revenue and Medicaid is absent, risk and opportunity analyses should focus on utilization drivers and prior authorization or formulary decisions for these biologics.

Operational risk is concentrated: with J3111 alone representing $1.5M and 69.9% of Medicare revenue, and J0897 adding $555.1K (26.3%), the practice has limited diversification across service lines. Any payer action (reimbursement reductions, utilization management) targeting these specific codes could rapidly reduce revenue, so contracting or oversight strategies should prioritize these two drugs and related administration codes.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3111	Injection, romosozumab-aqqg, 1 mg	184,380	$10	$1.5M
J0897	Injection, denosumab, 1 mg	30,840	$20	$555.1K
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…	770	$80	$62.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,390	$10	$12.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	240	$10	$1.9K
99204	The 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…	20	$80	$1.5K
99215	The provider sees an established 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…	10	$110	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Kelleen Graver — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3111	1	20	15,540	$10	$246.6K
J0897	3	230	2,880	$20	$79.5K
99214	307	20,010	100	$70	$11.7K
99215	4,665	4,950	30	$110	$5.9K
36415	397	1,910	90	$10	$5.4K
99204	5,955	8,330	30	$100	$4.4K
96372	1	1,270	40	$10	$700

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Kettering Medical Center	OH	General Acute Care Hospital	$0	$20M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Mount Carmel Healthproviders Inc	OH	Family Medicine Physician	$0	$9.5M
Kettering Independent Medical Group Inc	OH	Orthopaedic Surgery Physician	$0	$8.4M
Seth Kantor	OH	Rheumatology Physician	$1.7M	$0
Jorge Garcia-zuazaga	OH	MOHS-Micrographic Surgery Physician	$790.9K	$635.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$215.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Southeast, Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.8M
Mid-ohio Emergency Services, LLC	OH	Emergency Medicine Physician	$0	$38.5M
Nationwide Children's Hospital	OH	Home Infusion Agency	$0	$22.4M
Ohio Emergency Professionals Inc	OH	Emergency Medicine Physician	$0	$21.5M
Premier Care Of Ohio, LLC	OH	Methadone Clinic	$0	$18.2M
Nationwide Children's Hospital Homecare	OH	Home Health Agency	$0	$17.5M
Forward Health LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.1M
Nationwide Children's Hospital	OH	Dental Clinic/Center	$0	$11.1M

Kelleen Graver — Billing Profile & Reimbursement Data

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Kelleen Graver — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References