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

Why is the Medicaid comparison limited to New York 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. New York (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.

Nicholas Grillo (NPI 1649767450)

Field	Value
Entity Type	Individual
Organization	Nicholas Grillo
Address	120 Hobart St
City	Utica
State	NY
ZIP	13501
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 17, 2018

Payer Source	Total Paid
Medicare	$58.1K
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
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.	250	$140	$35.2K
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.	120	$90	$11K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	50	$180	$9.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$90	$1.4K
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.	10	$60	$710
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	90	$10	$650

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. New York Distribution

Nicholas Grillo — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	23	4,130	90	$150	$19.3K
99291	81	4,680	50	$190	$15.2K
99284	66	4,380	60	$100	$6.7K
99292	11	430	30	$90	$3.9K
93010	151	2,730	100	$10	$2.7K
99283	223	2,290	20	$60	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainegeneral Medical Center	ME	General Acute Care Hospital	$0	$168.1M
Brian Daikh	ME	Specialist	$1.2M	$0
Rachit Kumar	VA	Hematology & Oncology Physician	$802.4K	$0
Bo Pang	ME	Facial Plastic Surgery Physician	$434.3K	$0
Stephan Babirak	ME	Endocrinology, Diabetes & Metabolism Physician	$400K	$0
Mainegeneral Medical Center	ME	Family Medicine Physician	$0	$375.3K
Aamir Rai	TX	Anesthesiology Physician	$334.5K	$0
David Rancourt	MA	Internal Medicine Physician	$315.4K	$0
Jose Ventura	ME	Family Medicine Physician	$50.9K	$197.8K
Ellie Mueller	ME	Interventional Cardiology Physician	$201.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Resource Center For Independent Living	NY	Home Health Agency	$0	$163M
Cnyhhn Inc	NY	Case Management Agency	$0	$76M
St Elizabeth Medical Center	NY	General Acute Care Hospital	$0	$27.6M
Kids Oneida, Inc.	NY	Community/Behavioral Health Agency	$0	$25.2M
Utica Ambulance Service, Inc.	NY	Land Ambulance	$1M	$5.6M
Syed Zaman	NY	Anatomic Pathology & Clinical Pathology Physician	$1.5M	$180
Daniel Berg	NY	Cardiovascular Disease Physician	$472.1K	$23.3K
Michael Sassower	NY	Interventional Cardiology Physician	$408.1K	$40.8K
Prabhat Varma	NY	Interventional Cardiology Physician	$369.1K	$37.7K
Ashok Patel	NY	Interventional Cardiology Physician	$354.2K	$42.6K

Nicholas Grillo — Billing Profile & Reimbursement Data

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Nicholas Grillo — 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