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

Why is the Medicaid comparison limited to Utah 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. Utah (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 Gregory (NPI 1912926049)

Field	Value
Entity Type	Individual
Organization	Martin Gregory
Address	50 N Medical Dr
City	Salt Lake City
State	UT
ZIP	84132
Taxonomy	Nephrology Physician
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicare	$15.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$90	$8.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$140	$4.1K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	40	$70	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Martin Gregory — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	181	700	50	$90	$7.9K
99223	320	760	30	$130	$4.9K
90945	3	10	30	$70	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trevor Smith	UT	Nephrology Physician	$132.4K	$420
Marcellus Assiago	UT	Nephrology Physician	$109.1K	$240
Arsalan Habib	UT	Nephrology Physician	$101.9K	$940
Terrence Bjordahl	UT	Nephrology Physician	$98.1K	$1.5K
Bruce Horowitz	NM	Nephrology Physician	$96.1K	$220
Josephine Abraham	UT	Nephrology Physician	$92.2K	$0
Christopher Rich	MT	Nephrology Physician	$84.8K	$0
Irel Eppich	UT	Nephrology Physician	$80.2K	$860
Girish Singhania	UT	Nephrology Physician	$73.3K	$1
Pace Romney	UT	Nephrology Physician	$67.6K	$0

Martin Gregory — Billing Profile & Reimbursement Data

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Martin Gregory — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References