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NPI 1831327089 · Salem, VA · Otolaryngology Physician
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Brian Gross is a otolaryngology physician provider located in Salem, Virginia. This profile covers 19 Medicare and 1 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 | Brian Gross |
| Address | 1902 Braeburn Dr |
| City | Salem |
| State | VA |
| ZIP | 24153 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | June 26, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $135.9K |
| Medicaid | $650 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 410 | $60 | $26.5K |
| 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… | 190 | $80 | $14.7K |
| 64582 | The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor… | 20 | $670 | $13.4K |
| 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… | 110 | $120 | $13.1K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 130 | $90 | $12.1K |
| 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… | 120 | $100 | $11.3K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 50 | $130 | $6.4K |
| 31237 | In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement. | 20 | $290 | $6.1K |
| 69433 | The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia. | 40 | $160 | $5.7K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 570 | $10 | $5.7K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 95165 | 86 | 130 | 840 | $10 | $22K |
| 99214 | 6,973 | 12,890 | 140 | $80 | $21K |
| 64582 | 2 | 10 | 20 | $690 | $13.7K |
| 31237 | 18 | 20 | 30 | $260 | $10.2K |
| 99213 | 1,192 | 12,440 | 90 | $60 | $10K |
| 31231 | 75 | 170 | 40 | $130 | $9.8K |
| 99215 | 3,407 | 4,030 | 40 | $120 | $9.5K |
| 30520 | 11 | 10 | 10 | $550 | $7.7K |
| 30140 | 6 | 10 | 20 | $290 | $7.1K |
| 31575 | 25 | 210 | 50 | $90 | $6.1K |
Showing 1–10 of 19
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10 | $50 | $650 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 3,878 | 4,010 | 290 | $50 | $199.8K |
Other providers in the same ZIP code as Brian Gross, ranked by combined Medicare and Medicaid revenue.
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