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.

Misty Grove (NPI 1689057879)

Field	Value
Entity Type	Individual
Organization	Misty Grove
Address	2122 Manchester Expy
City	Columbus
State	GA
ZIP	31904
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 7, 2015

Payer Source	Total Paid
Medicare	$43.6K
Medicaid	$0

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
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…	180	$140	$24.6K
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…	120	$80	$9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$50	$5.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$80	$2.1K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	30	$60	$1.8K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$30	$350
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	20	$10	$210

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. Georgia Distribution

Misty Grove — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,603	3,880	90	$90	$13.9K
99232	2,063	5,010	80	$60	$10.9K
99291	116	2,220	40	$160	$10.3K
99239	1,329	1,910	60	$90	$6.5K
36556	8	150	20	$60	$1.1K
36620	236	300	20	$30	$750
76937	171	310	30	$10	$560

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Southeastern Hospitalist Services PC	SC	Hospitalist Physician	$0	$2.2M
Jonathan Busbee	GA	Internal Medicine Physician	$266.2K	$1.6M
Kambiz Shamlou	FL	Diagnostic Radiology Physician	$1.4M	$0
Thomas Yuschok	FL	Diagnostic Radiology Physician	$1.2M	$0
Hiren Shah	GA	Cardiovascular Disease Physician	$757.1K	$0
Shane Darrah	GA	Interventional Cardiology Physician	$700K	$0
Amarabalan Rajendran	GA	Physical Medicine & Rehabilitation Physician	$690.5K	$0
Amanda Aulls	FL	Diagnostic Radiology Physician	$647.6K	$0
Victor Aguin Melendez	SC	Internal Medicine Physician	$634.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Mayfield	GA	Ophthalmology Physician	$2.6M	$0
Panvelkar And Panvelkar, LLC	GA	Pediatrics Physician	$0	$2.3M
The Allergy Center At Brookstone PC	GA	Allergy & Immunology Physician	$0	$1.9M
Eye Surgery Center Of West Georgia LLC	GA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Candler Road Dental, PC	GA	General Practice Dentistry	$0	$932.8K
Hunter Champion	GA	Cardiovascular Disease Physician	$744.8K	$0
Gregory Parker	GA	Family Medicine Physician	$699.8K	$0
I Basilio Md, PC	GA	Pediatric Adolescent Medicine Physician	$0	$697K
William Harper	GA	Specialist	$678.4K	$0
Nephrology Associates Of Columbus, P.C.	GA	Nephrology Physician	$0	$605.8K

Misty Grove — Billing Profile & Reimbursement Data

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Misty Grove — 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