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

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

James Gray (NPI 1841219938)

Field	Value
Entity Type	Individual
Organization	James Gray
Address	2410 Patterson St
City	Nashville
State	TN
ZIP	37203
Taxonomy	Radiation Oncology Physician
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicare	$4.9M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: Total Medicare revenue is $4.9M and there is no Medicaid billing on file (none). The absence of Medicaid activity indicates the practice’s Medicare exposure dominates its public‑payer footprint and financial performance.

Revenue is extremely concentrated in a small number of CPT/HCPCS codes: the precomputed top‑3 share is 86.2% of Medicare revenue, led by 77523 which alone accounts for $3.6M (72.5%). The next two contributors are 77014 ($357.7K, 7.3%) and 55874 ($313K, 6.4%), so the provider’s Medicare book of business depends heavily on a few high‑value services.

The code mix points to a specialized radiation oncology operation centered on proton therapy and prostate‑focused interventions. 77523 (technical component of proton beam therapy) shows 4.1K claims at $861 avg paid/claim and is the dominant revenue driver, while 55874 (biodegradable spacer around the prostate) and related marker codes (A4648, 441 claims) underline a clinical focus on prostate cancer workflows and procedures that support radiotherapy planning and delivery.

Competitive standing is concentrated and nationally prominent for core procedures: 77523 ranks #1 of 111 providers nationally (100th percentile; extreme outlier), 77014 ranks #20 of 4303 (100th percentile; extreme outlier), and 55874 ranks #3 of 557 (100th percentile; extreme outlier). These ranks indicate the provider is a major national outlier for the procedures that generate the majority of its Medicare revenue, rather than a modest regional participant.

Operational activity metrics support a high‑throughput radiotherapy program: 77523 and 77014 each have 4.1K claims, and weekly treatment oversight code 77336 shows 999 claims ($60 avg paid/claim, $59.9K; 1.2% of revenue) with a rank of #16 of 1488 providers (99th percentile; extreme outlier). High claim counts for technical and physics‑related codes suggest sustained courses of radiation therapy with substantial machine/technical utilization rather than isolated consultations.

While core therapeutic codes are extreme outliers, several planning and specialty procedure codes show more typical volumes, indicating focused specialization rather than broad service diversification. For example, stereotactic body RT technical code 77373 is described as typical/unremarkable volume (82th percentile) and course management 77435 sits around the 50th percentile, implying selected high‑volume services (proton and prostate procedures) drive the operation rather than uniformly elevated volumes across all radiation oncology codes.

Concentration in Medicare revenue creates payor‑mix and policy sensitivity: with $4.9M from Medicare and no Medicaid revenue, reimbursement changes or policy updates affecting proton therapy codes (77523) or prostate spacer/marker procedures could materially affect the practice. The heavy reliance on a single high‑value code amplifies operational and reimbursement risk compared with a more diversified payer and service mix.

The provider has an established presence in the Medicare dataset with NPI enumerated 2006-07-19 (~20 years ago), supporting that the observed high volumes and national ranks reflect sustained operations rather than a short‑term billing spike. Combined longevity and persistent high ranks for specific codes suggest a stable, specialized radiation oncology practice concentrated in proton therapy and prostate support procedures.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77523	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…	4,130	$860	$3.6M
77014	N/A	4,110	$90	$357.7K
55874	Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…	150	$2,070	$313K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	210	$1,320	$277.2K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	980	$140	$137.6K
77373	This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…	110	$710	$80.9K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	1,000	$60	$59.9K
A4648	Tissue marker, implantable, any type, each	440	$80	$34.4K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	190	$120	$22.8K
99205	The provider sees a new 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 provider…	120	$150	$17.7K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

James Gray — 11 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77523	1	10	2,050	$830	$1.7M
55874	1	10	30	$1,760	$65.2K
77373	1	10	50	$720	$41.5K
77014	1	80	710	$50	$40.3K
77427	1	100	200	$140	$33.9K
77301	1	80	40	$600	$30.1K
99214	5,572	11,370	120	$80	$16.6K
77336	1	30	220	$60	$15.2K
A4648	1	10	70	$80	$10.4K
77435	21	50	20	$480	$10.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Radiology Alliance PC	TN	Diagnostic Radiology Physician	$0	$13.2M
Tennessee Oncology PLLC	TN	Hematology & Oncology Physician	$0	$8.5M
Mark Womack	TN	Hematology & Oncology Physician	$2.4M	$0
Bertrand Anz	TN	Hematology & Oncology Physician	$2.4M	$0
Ryan Grover	TN	Radiation Oncology Physician	$2.2M	$0
Dana Thompson	TN	Medical Oncology Physician	$2.2M	$0
Kent Shih	TN	Hematology & Oncology Physician	$2.2M	$0
Joshua Mondschein	TN	Radiation Oncology Physician	$2.1M	$0
Derek Holland	TN	Hematology & Oncology Physician	$2M	$0
Josiah Magnusson	FL	Nuclear Medicine Physician	$1.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$45.9M
Pediatrix Medical Group Of Tennessee, P.C.	TN	Neonatal-Perinatal Medicine Physician	$0	$32.3M
Saint Thomas Medical Partners	TN	Internal Medicine Physician	$0	$21.9M
Emergency Medicine Services Of Tn, PC	TN	Emergency Medicine Physician	$0	$12.9M
Tennessee Maternal-fetal Medicine LLC	TN	Specialist	$0	$12.5M
The Next Door, Inc.	TN	Substance Abuse Rehabilitation Facility	$0	$8.6M
Vcphcs Ix, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$257.7K	$6.6M
Tennessee Retina PC	TN	Retina Specialist (Ophthalmology) Physician	$0	$6M
Pediatric Associates Of Davidson County, P.C.	TN	Pediatrics Physician	$0	$5.8M
Heritage Medical Associates PC	TN	Internal Medicine Physician	$0	$5.6M

James Gray — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References