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    OpenPayerNPI Medicare & MedicaidTimothy Grossman
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    Timothy Grossman — Billing Profile & Reimbursement Data

    NPI 1770584757 · Helena, MT · Urology Physician

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    Timothy Grossman is a urology physician provider located in Helena, Montana. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Grossman
    Address2550 E Broadway St
    CityHelena
    StateMT
    ZIP59601
    TaxonomyUrology Physician
    NPI EnumeratedAugust 2, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$140K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,440$70$100.6K
    99204The 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…140$90$12.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…120$70$8.3K
    99215The 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…70$100$7.2K
    55700Code deleted December 31, 2025.50$90$4.8K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…20$110$2.5K
    99213The 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…20$40$1K
    53661The female urethral dilation CPT codes (53660–53665) involve the insertion of dilators, usually multiple dilators of progressively increasing size, to widen the urethra, and promote complete voiding…30$30$900
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…40$20$810
    51702The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…40$20$780

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921451,810100$70$12.4K
    520001730120$110$11.4K
    9921525478040$100$7.9K
    992131,4871,73090$50$7.2K
    992042778030$100$4.8K
    5570053040$130$4.4K
    5228111020$170$3.5K
    76872202040$70$3K
    51702112040$30$1.4K
    76942135030$30$1.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Peter's HealthMTFamily Medicine Physician$0$5.2M
    St. Peter's HealthMTGeneral Acute Care Hospital$0$4.2M
    St Peters Community HospitalMTMulti-Specialty Clinic/Center$0$2.6M
    St. Peter's HospitalMTAmbulance$0$1.6M
    St Peter's Medical Group NorthMTFamily Medicine Physician$0$1.5M
    St. Peter's HealthMTOxygen Equipment & Supplies (DME)$0$1.4M
    Sheila ManhasCANeurology Physician$1.4M$0
    St. Peter's HealthMTRadiology Clinic/Center$13.3K$849.9K
    St. Peter's HealthMTRadiology Clinic/Center$1.3K$623.3K
    Mohammed JaloudiRIMedical Oncology Physician$398.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West MontMTAdult Care Home Facility$0$34.7M
    Intermountain Deaconess HomeMTEmotionally Disturbed Childrens' Residential Treatment Facility$0$11.9M
    County Of Lewis & Clark Lewis & Clark County School District #1MTLocal Education Agency (LEA)$0$10.8M
    Pediatric Dentistry PCMTPediatric Dentistry$0$9.9M
    Montana Children's Home & HospitalMTGeneral Acute Care Hospital$0$8.7M
    Region Iv Family Outreach, IncMTCase Manager/Care Coordinator$0$7.3M
    Lewis And Clark Emergency Physicians P CMTEmergency Medicine Physician$0$6.6M
    Montana Independent Living ProjectMTIn Home Supportive Care Agency$0$6M
    Edgewood Helena Senior Living LLCMTAssisted Living Facility$0$4.7M
    Montana Surgery CenterMTAmbulatory Surgical Clinic/Center$0$4.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Montana Distribution
    Timothy Grossman — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana