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    OpenPayerNPI Medicare & MedicaidGordon Groh
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    Gordon Groh — Billing Profile & Reimbursement Data

    NPI 1902853203 · Asheville, NC · Orthopaedic Surgery Physician

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    Gordon Groh is a orthopaedic surgery physician provider located in Asheville, North Carolina. This profile covers 24 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
    OrganizationGordon Groh
    Address111 Victoria Rd
    CityAsheville
    StateNC
    ZIP28801
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 30, 2006

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

    Payer SourceTotal Paid
    Medicare$158.2K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…40$1,100$47.3K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$780$19.4K
    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…290$60$17.7K
    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…180$90$16K
    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…70$120$8.2K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$290$8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…120$50$5.8K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…30$170$4.8K
    99203The 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…60$70$4.7K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…30$140$4.2K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    298273212020$1,000$25K
    234721813020$750$17.9K
    992146,34218,060110$80$15.1K
    647215212030$400$14.1K
    260554810030$300$11.4K
    992155,6215,72040$110$7.7K
    992131,77516,32070$50$7.1K
    2982396020$230$5.5K
    206104911,62060$50$5.1K
    992041,4838,43030$110$4.8K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mission Health Community Multispecialty Providers, LLCNCInternal Medicine Physician$0$24.1M
    Moore Pediatric Therapy SerivcesNCSpecialist$0$19.1M
    Mh Mission Hospital Mcdowell, LllpNCGeneral Acute Care Hospital$0$7.6M
    Mh Mission Hospital Mcdowell, LllpNCRural Health Clinic/Center$0$7.1M
    Mh Angel Medical Center, LllpNCCritical Access Hospital$0$7.1M
    Christopher ChayNCHematology & Oncology Physician$1.8M$0
    Trevor AustinNCHematology & Oncology Physician$1.4M$0
    Wieslawa PekalNCHematology & Oncology Physician$1.2M$0
    Mridu ChandNCHematology & Oncology Physician$1.1M$0
    Charles BryanNCHematology & Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rha Health Services Nc, LLCNCDevelopmentally Disabled Services Day Training Agency$0$117.3M
    Mh Mission Hospital, LllpNCGeneral Acute Care Hospital$0$62.2M
    Rha Health Services, Inc.NCCommunity/Behavioral Health Agency$0$30.1M
    Daymark Recovery Services IncNCCommunity/Behavioral Health Agency$0$17.5M
    Rafael Rivera, Jr., Dds, PLLCNCDentist$0$16.4M
    Rha Behavioral Health Nc LLCNCCommunity/Behavioral Health Agency$0$12.6M
    Leslie WessingerNCGeneral Practice Dentistry$0$9M
    F.i.r.s.t.NCCommunity/Behavioral Health Agency$0$8.7M
    Coram Alternate Site Services, Inc.NCHome Infusion Agency$0$8.2M
    Keystone Laboratories, Inc.NCClinical Medical Laboratory$435.4K$4.1M

    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. North Carolina Distribution
    Gordon Groh — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina