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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Grace Samuel (NPI 1922344845)

Field	Value
Entity Type	Individual
Organization	Grace Samuel
Address	615 Hope Rd
City	Eatontown
State	NJ
ZIP	07724
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 20, 2012

Payer Source	Total Paid
Medicare	$131.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,550	$80	$125.8K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	60	$30	$2.1K
G0008	Administration of influenza virus vaccine	60	$30	$2K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	20	$50	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Grace Samuel — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	5	580	100	$90	$20.7K
99348	483	510	70	$60	$8.7K
G0008	1,824	4,290	50	$30	$3K
90674	23	320	20	$30	$910

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lisa Cannon	NJ	Pulmonary Disease Physician	$486.2K	$0
Yevgeniy Vaysberg	NJ	Family Medicine Physician	$187.6K	$0
Diane Mackenzie	NJ	Emergency Medicine Physician	$124.6K	$0
Evan Rubin	NJ	Family Medicine Physician	$113.3K	$0
Ahmed Rezk	NJ	Family Medicine Physician	$103K	$370
Deborah Bessen	NJ	Family Medicine Physician	$98.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fordham-lewis Consulting, L.L.C.	NJ	Community/Behavioral Health Agency	$0	$25.6M
Premier Mental & Behavioral Services, Inc	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Pathology Solutions LLC	NJ	Clinical Medical Laboratory	$2.4M	$5.4M
Advanced Endoscopy & Surgical Center LLC	NJ	Ambulatory Surgical Clinic/Center	$1.2M	$4.1M
A2z Diagnostics LLC	NJ	Clinical Medical Laboratory	$1.1M	$3.2M
Center For Ambulatory And Minimally Invasive Surgery LLC	NJ	Ambulatory Surgical Clinic/Center	$1.6M	$697K
Atlantic Surgery Center,llc	NJ	Ambulatory Surgical Clinic/Center	$2.3M	$0
Stacey Longo	NJ	Clinical Pathology/Laboratory Medicine Physician	$2M	$410
Hackensack Meridian Ambulatory Care, Inc.	NJ	Home Infusion Therapy Pharmacy	$116.6K	$1.5M
Eran Zacks	NJ	Clinical Cardiac Electrophysiology Physician	$870.3K	$0

Grace Samuel — Billing Profile & Reimbursement Data

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Grace Samuel — 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

Nearby Providers

Frequently Asked Questions

References