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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Gross
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    Michael Gross — Billing Profile & Reimbursement Data

    NPI 1932105285 · Virginia Beach, VA · Dermatology Physician

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    Michael Gross is a dermatology physician provider located in Virginia Beach, Virginia. This profile covers 16 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Gross
    Address828 Healthy Way
    CityVirginia Beach
    StateVA
    ZIP23462
    TaxonomyDermatology Physician
    NPI EnumeratedJune 22, 2005

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

    Payer SourceTotal Paid
    Medicare$147.3K
    Medicaid$7.2K

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,210$60$71.4K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.860$50$38.7K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,570$10$7.9K
    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…110$70$7.6K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.70$50$3.6K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…40$80$3K
    12031This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) that are 2.5 cm or less in size.20$160$2.8K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.10$200$2.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$40$2.4K
    17282The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…10$160$2.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17110396530120$80$13.7K
    1203216919030$200$12.6K
    1700056580210$40$12.4K
    96401132180110$60$11.5K
    9921311612,44090$60$10K
    17003130510740$1$5.5K
    12031235020$170$4.4K
    11302405020$90$3.9K
    992035964,92030$70$3.8K
    17282233020$140$3.1K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…160$40$7.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,4164,010290$50$199.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Janel FellnerVAMedical Physician Assistant$71.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of Virginia Beach Humans ServicesVADevelopmentally Disabled Services Day Training Agency$0$32M
    Bhg Xlii, LLCVASubstance Use Disorder Rehabilitation Clinic/Center$283K$27M
    A&c Alternative Care Support IncVAIn Home Supportive Care Agency$0$27.2M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$26.3M
    Volunteers Of America Chesapeake, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$25.6M
    Community Direct Services, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$23.8M
    Community Direct Services, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.7M
    Ac Support Systems, LLCVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.2M
    Individuals First, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.2M
    Care Advantage, Inc.VAHome Health Agency$0$12M

    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. Virginia Distribution
    Michael Gross — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Michael Gross — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia