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NPI 1811948854 · Crystal Lake, IL · Neurology Physician
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Paul Grindstaff is a neurology physician provider located in Crystal Lake, Illinois. This profile covers 15 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Paul Grindstaff |
| Address | 750 East Terra Cotta Ave |
| City | Crystal Lake |
| State | IL |
| ZIP | 60014 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | May 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $129.4K |
| Medicare | $116.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 380 | $80 | $31.4K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 340 | $80 | $25.8K |
| 99204 | The 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… | 130 | $120 | $16K |
| 95913 | In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 60 | $220 | $11.8K |
| 95912 | In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory… | 50 | $190 | $8.4K |
| 95911 | In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 50 | $150 | $7.3K |
| 95910 | In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory… | 30 | $130 | $4.5K |
| 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… | 30 | $130 | $4.5K |
| 99203 | The provider sees a new 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 provider… | 20 | $80 | $1.7K |
| 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… | 30 | $70 | $1.6K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 2,936 | 18,540 | 110 | $80 | $17.1K |
| 99215 | 3,555 | 6,240 | 40 | $120 | $10.1K |
| 99213 | 14,130 | 17,390 | 70 | $60 | $8.8K |
| 95886 | 17 | 240 | 90 | $60 | $8.1K |
| 95913 | 7 | 50 | 20 | $170 | $6.6K |
| 95911 | 28 | 130 | 30 | $140 | $5.7K |
| 99204 | 495 | 8,580 | 30 | $110 | $5.6K |
| 95912 | 9 | 50 | 20 | $170 | $5.3K |
| 95819 | 121 | 130 | 30 | $100 | $5K |
| 95910 | 34 | 130 | 30 | $120 | $4.1K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 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… | 1,890 | $40 | $83.2K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 460 | $80 | $35.6K |
| 99204 | The 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… | 170 | $60 | $9.6K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 80 | $10 | $680 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 80 | $1 | $150 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1,847 | 14,680 | 300 | $50 | $48.7K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 22 | 90 | 130 | $50 | $17.8K |
| 99204 | The 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… | 778 | 2,800 | 60 | $80 | $17.7K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 527 | 900 | 120 | $10 | $3.5K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 60 | 90 | 130 | $1 | $840 |
Other providers in the same ZIP code as Paul Grindstaff, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Crystal Lake | IL | Land Ambulance | $510.3K | $5.7M |
| John Michael | IL | Ophthalmology Physician | $2M | $1.9M |
| Hetal Gandhi | IL | Cardiovascular Disease Physician | $593.6K | $36.2K |
| Shari Cardwell | IL | Family Nurse Practitioner | $339.2K | $25.6K |
| Jennee Rommel | IL | Dermatology Physician | $336.9K | $18.6K |
| Michael Lesser | IL | Family Medicine Physician | $216.5K | $104.2K |
| Benjamin Nager | IL | Neurology Physician | $232.8K | $41.6K |
| Edward Dolezal | IL | Ophthalmology Physician | $246.7K | $0 |
| Syed Asghar | IL | Internal Medicine Physician | $149.1K | $45.8K |
| Achal Garbharran | IL | Endocrinology, Diabetes & Metabolism Physician | $170.8K | $19.5K |
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