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

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

Bertram Graves (NPI 1821186933)

Field	Value
Entity Type	Individual
Organization	Bertram Graves
Address	3737 N. Meridian St.
City	Indianapolis
State	IN
ZIP	46208
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicare	$28.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	230	$120	$26.3K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	40	$30	$1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$700
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	20	$1	$70

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Bertram Graves — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	120	2,730	30	$110	$7.1K
36415	879	1,730	90	$10	$2.2K
99407	7	20	30	$20	$1.1K
96127	134	210	40	$1	$250

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indianapolis Recovery LLC	IN	Substance Abuse Rehabilitation Facility	$0	$32.9M
James A. Weddell Dds,msd,pc	IN	Pediatric Dentistry	$0	$9.7M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$3.3M
Michael Gilpatrick	IN	General Practice Physician	$616.9K	$0
Robert Mehl	IN	Diagnostic Radiology Physician	$249.8K	$110
Meridian Correctional Services LLC	IN	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$13.4K	$2.1K
Erin Burns	IN	Family Medicine Physician	$12.2K	$0

Bertram Graves — Billing Profile & Reimbursement Data

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Bertram Graves — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References