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

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

Gregg Koval (NPI 1659472363)

Field	Value
Entity Type	Individual
Organization	Gregg Koval
Address	5667 Peachtree Dunwoody Road
City	Atlanta
State	GA
ZIP	30342
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicare	$95K
Medicaid	$0

Medicare: Complete Services Breakdown

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

16 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…	310	$90	$27.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	$130	$23.1K
G0513	Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first…	180	$60	$11.3K
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…	140	$70	$9.2K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	170	$50	$7.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	110	$20	$2.5K
99212	The 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,…	60	$40	$2.3K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	110	$20	$2.2K
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	$140	$1.9K
93000	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…	200	$10	$1.8K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Gregg Koval — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,047	13,640	120	$80	$17.8K
G0439	511	2,900	70	$120	$12.4K
99213	4,741	13,360	80	$60	$9.2K
99215	2,850	3,270	30	$120	$7.7K
90694	1,139	1,390	50	$70	$6.3K
G0513	1	10	50	$60	$4.1K
93922	23	260	40	$40	$2.8K
99212	797	2,720	30	$40	$2.1K
G0008	3,027	3,790	50	$30	$2K
G0444	364	990	60	$20	$1.6K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amatu Rabbi	GA	Endocrinology, Diabetes & Metabolism Physician	$224.9K	$0
Sairus Faruque	GA	Internal Medicine Physician	$160.8K	$0
Meenal Lothe	GA	Internal Medicine Physician	$140.4K	$0

Gregg Koval — Billing Profile & Reimbursement Data

Sign up for Gregg Koval — Billing Profile & Reimbursement Data policy alerts

Gregg Koval — Billing Profile & Reimbursement Data

Sign up for Gregg Koval — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References