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    v1.0.28
    OpenPayerNPI Medicare & MedicaidColleen Grimone
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    Colleen Grimone — Billing Profile & Reimbursement Data

    NPI 1891733267 · Erie, PA · Physician Assistant

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    Colleen Grimone is a physician assistant provider located in Erie, Pennsylvania. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationColleen Grimone
    Address100 Peach St
    CityErie
    StatePA
    ZIP16507
    TaxonomyPhysician Assistant
    NPI EnumeratedJune 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$41.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…290$80$23K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.30$150$5.2K
    99213The 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…50$50$2.3K
    99215The 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$1.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.170$10$1.4K
    99204The 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…10$90$1.3K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…30$40$1.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…100$10$820
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…60$10$750
    83550The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…60$10$490

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053180220110$10$21.6K
    8230615516060$30$19.5K
    8444318719080$20$19.4K
    992144,37923,230100$80$14.5K
    741779051,040110$70$10.7K
    992156,5607,17040$120$8.6K
    85025212420100$10$8.4K
    9921314,13122,37070$60$7.7K
    8004812314080$10$7.2K
    826077811050$10$7.1K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duncan FagundusNCRheumatology Physician$1.8M$0
    Maria PictonNCHematology & Oncology Physician$1.4M$0
    Michael WattersonNCRheumatology Physician$669.3K$2.6K
    Steven HamsteadNCInternal Medicine Physician$557.2K$0
    Jayesh PatelNCCardiovascular Disease Physician$514K$0
    Jonathan TaylorNCUrology Physician$506.7K$0
    Heather WhiteNCHematology & Oncology Physician$502.4K$0
    John FogartyNCPulmonary Disease Physician$467.9K$0
    Mark WarrenNCEndocrinology, Diabetes & Metabolism Physician$450.7K$0
    Richard PippinNCInternal Medicine Physician$436.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gaudenzia IncPACommunity/Behavioral Health Agency$0$40M
    Dr Gertrude A Barber Center IncPAClinic/Center$0$18.7M
    Robert BaldwinPAOphthalmology Physician$2.3M$145.9K
    Laboratory Associates Of Erie LLCPAClinical Medical Laboratory$60.1K$2.2M
    Ryan ConstantinePARetina Specialist (Ophthalmology) Physician$2M$0
    David AlmeidaPAOphthalmology Physician$1.3M$520.5K
    Upmc Hamot Surgery Center, LLCPAAmbulatory Surgical Clinic/Center$871.5K$719.9K
    Douglas BabelPAOphthalmology Physician$742.6K$63.8K
    Edward ZimmPAOphthalmology Physician$422.7K$380
    Ellen DaileyPAObstetrics & Gynecology Physician$72.4K$276.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Colleen Grimone — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania