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

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

Jonathan Grijalva (NPI 1639777386)

Field	Value
Entity Type	Individual
Organization	Jonathan Grijalva
Address	9430 Turkey Lake Rd Ste 110
City	Orlando
State	FL
ZIP	32819
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 14, 2020

Payer Source	Total Paid
Medicare	$20.4K
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
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…	160	$80	$12.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$80	$3.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$120	$2.3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	50	$20	$1.1K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	90	$10	$920
99423	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	20	$30	$600

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. Florida Distribution

Jonathan Grijalva — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,008	32,760	140	$90	$25K
99233	7,457	9,970	100	$90	$20.1K
99223	9,012	11,110	60	$130	$12.5K
G0447	127	290	40	$30	$2.1K
99423	10	20	30	$30	$1.9K
94664	40	160	40	$10	$890

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
At Home Care Solutions Inc.	FL	Home Health Agency	$0	$31.7M
Tlc Pediatric Therapies Inc.	FL	Clinic/Center	$0	$11.8M
Growing Together Pediatrics, LLC	FL	Primary Care Clinic/Center	$0	$10.4M
Wound Technology Network Inc	FL	Infectious Disease Physician	$0	$10.1M
Advanced Surgery Center Of Orlando LLC	FL	Ambulatory Surgical Clinic/Center	$3.8M	$0
Erica Mailler	FL	MOHS-Micrographic Surgery Physician	$919.8K	$0
Charles Garnette	FL	Vascular Surgery Physician	$867.7K	$0
John Meisenheimer	FL	MOHS-Micrographic Surgery Physician	$857.7K	$0
Sand Lake Surgicenter LLC	FL	Ambulatory Surgical Clinic/Center	$713.3K	$0
Nam Dinh	FL	Orthopaedic Surgery Physician	$550.6K	$0

Jonathan Grijalva — Billing Profile & Reimbursement Data

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Jonathan Grijalva — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References