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

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

Amit Grover (NPI 1801028451)

Field	Value
Entity Type	Individual
Organization	Amit Grover
Address	300 Longwood Ave
City	Boston
State	MA
ZIP	02115
Taxonomy	Pediatric Gastroenterology Physician
NPI Enumerated	August 16, 2009

Payer Source	Total Paid
Medicare	$15.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43259	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…	50	$190	$9.4K
43242	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…	20	$220	$3.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	40	$70	$2.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Amit Grover — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43239	316	470	50	$120	$8.4K
43259	8	20	30	$160	$7.4K
43242	20	20	30	$190	$7.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Corporation	MA	Children's Hospital	$0	$330.9M
Children's Hospital Pediatric Associates, Inc	MA	Pediatrics Physician	$0	$19.1M
Kee Chung	MA	Pediatric Radiology Physician	$207.1K	$107.4K
Thaddeus Herliczek	MA	Pediatric Radiology Physician	$38.7K	$264K
Nutan Sharma	MA	Neurology Physician	$286K	$0
Jeffrey Sorkin	MA	Ophthalmology Physician	$24.9K	$251.2K
Thomas Tadros	MA	Clinical Cardiac Electrophysiology Physician	$160.8K	$0
Nimesh Patel	MA	Ophthalmology Physician	$140.4K	$8K
Francisco Bonilla	MA	Allergy & Immunology Physician	$71.3K	$52.5K
Lisa Teot	MA	Anatomic Pathology Physician	$23.5K	$63.9K

Amit Grover — Billing Profile & Reimbursement Data

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Amit Grover — 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

Frequently Asked Questions

References