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

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

Martin Gross (NPI 1881915833)

Field	Value
Entity Type	Individual
Organization	Martin Gross
Address	789 Howard Ave
City	New Haven
State	CT
ZIP	06519
Taxonomy	Urology Physician
NPI Enumerated	June 14, 2010

Payer Source	Total Paid
Medicare	$31.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	230	$80	$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…	80	$90	$6.8K
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…	90	$40	$3.4K
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…	10	$120	$1.3K
54235	The provider injects pharmacologic agents such as papaverine, phentolamine, or prostaglandin E1 into the corpora cavernosa of the penis. He performs this procedure to treat patients with erectile…	20	$60	$1.1K
93980	The provider performs a complete study of the penile blood vessels for abnormalities in blood flow using duplex Doppler ultrasound imaging.	20	$50	$910

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Martin Gross — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	805	6,480	90	$90	$14.2K
99213	1,235	6,440	70	$60	$8.1K
99215	1,060	1,840	30	$130	$6.7K
99204	204	2,660	30	$120	$4.6K
54235	1	10	20	$50	$1.1K
93980	1	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheshire Medical Center	NH	Medicare Defined Swing Bed Hospital Unit	$0	$8.7M
Cheshire Medical Center	NH	Family Medicine Physician	$0	$4.6M
The New London Hospital Association, Inc.	NH	Multi-Specialty Clinic/Center	$0	$3M
The New London Hospital Association, Inc.	NH	Critical Access Hospital	$0	$2.6M
Timothy Lonesky	KY	Rheumatology Physician	$1.5M	$0
Cheshire Medical Center	NH	General Acute Care Hospital	$0	$1.3M
Tomasz Stryjewski	MA	Ophthalmology Physician	$935.2K	$0
Garrett Bomba	NH	Emergency Medicine Physician	$513.6K	$18.9K
Daniel Mcginley-smith	NH	Dermatology Physician	$461.3K	$0
Alan Steljes	NH	Cardiovascular Disease Physician	$380.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornell Scott Hill Health Corporation	CT	Federally Qualified Health Center (FQHC)	$338.5K	$294.2M
Apt Foundation, Inc	CT	Methadone Clinic	$0	$28.6M
Yale Univ School Of Medicine	CT	Adolescent and Children Mental Health Clinic/Center	$0	$13.2M
New Haven Board Of Education	CT	Local Education Agency (LEA)	$0	$12.2M
Connecticut Retina Consultants LLC	CT	Ophthalmology Physician	$0	$8.3M
Continuum Of Care, Inc.	CT	Adult Mental Health Clinic/Center	$0	$4.9M
Connecticut Pulmonary Specialists, PC	CT	Pulmonary Disease Physician	$0	$2.3M
Wayne Larrison	CT	Ophthalmology Physician	$1.9M	$0
Rachel Collins	CT	Professional Counselor	$0	$1.7M
James Weisz	CT	Ophthalmology Physician	$1.3M	$0

Martin Gross — Billing Profile & Reimbursement Data

Sign up for Martin Gross — Billing Profile & Reimbursement Data policy alerts

Martin Gross — Billing Profile & Reimbursement Data

Sign up for Martin Gross — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References