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    OpenPayerNPI Medicare & MedicaidAlrich Gray
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    Alrich Gray — Billing Profile & Reimbursement Data

    NPI 1952372294 · Great Falls, MT · Cardiovascular Disease Physician

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    Alrich Gray is a cardiovascular disease physician provider located in Great Falls, Montana. This profile covers 42 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
    OrganizationAlrich Gray
    Address401 15th Ave S Ste 202
    CityGreat Falls
    StateMT
    ZIP59405
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJanuary 26, 2006

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

    Payer SourceTotal Paid
    Medicare$366.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is concentrated in a mix of outpatient evaluation/management and cardiac specialty procedures: the top three Medicare codes are 99214 ($78.3K, 890 claims), 93306 ($58.4K, 420 claims) and 93656 ($24K, 32 claims), and those top 3 codes together account for 46.7% of this provider's total Medicare revenue. That mix points to a practice model built around office-based cardiology encounters and diagnostic/therapeutic cardiac services rather than primary-care breadth.

    Business and service-line signals show a dual emphasis on ambulatory cardiology and electrophysiology. High volumes in 99214 and extensive use of echocardiography (93306) indicate a steady outpatient clinic workload, while presence of ablation codes such as 93656 and related EP codes (93653, 93650) plus device-management codes (93294, 93296, 93297) show active electrophysiology and implantable-device follow-up services.

    Device management and remote monitoring are a consistent revenue stream: G2066 ($17.5K, 407 claims), 93294 ($11K, 549 claims) and 93296 ($10.8K, 674 claims) together represent recurring technical and monitoring services. The counts and revenues for these codes suggest the provider maintains a panel of implanted devices requiring routine remote interrogation and technical review, supporting ongoing follow-up work beyond single procedures.

    The provider appears effectively single‑payer in the dataset: total Medicare revenue is $366.7K and there is no Medicaid billing on file (none). This lack of Medicaid activity indicates the Medicare program is the primary source of public-payer revenue for the practice and any Medicaid exposure or state-level reimbursement dynamics are absent from the available billing footprint.

    Competitive standing is mixed by service line. The provider ranks highly for office visits and ECGs — 99214 ranks #15236 of 479517 (97th percentile; notably above typical national volume) and 93000 ranks #1125 of 71016 (98th percentile; extreme outlier, far above typical national volume) — indicating above-average throughput on routine cardiology encounters and ECG interpretation. By contrast, higher-complexity procedures show more modest participation: 93656 ranks #871 of 2048 (55th percentile; typical, unremarkable volume) for PVI ablation and pacemaker implants like 33208 are lower-ranked at #2050 of 3026 (28th percentile; typical, unremarkable volume), implying limited procedural market share in advanced device implantation and ablation compared with national peers.

    There is evidence of some acute/procedural capability but at low volume relative to national peers: angiography and interventional codes such as 93458 and 93460 and PCI-related 92928 appear with small revenue and low ranks (for example, 92928 ranks #4733 of 5112, 4th percentile), suggesting the provider performs occasional coronary procedures but is not a major interventional hub. This pattern is consistent with a practice focused on diagnostics, outpatient management and selective procedural care rather than high-volume cath lab services.

    Revenue concentration around a few codes creates dependence on follow-up and outpatient encounters: 99214 alone accounts for 22.8% of Medicare revenue and the top three codes account for 46.7% of Medicare revenue. That concentration makes changes in outpatient visit volume, echocardiography utilization, or EP scheduling likely to have an outsized effect on overall Medicare revenue.

    Tenure data show an established practice presence: NPI enumerated on 2006-01-26 (~20 years ago). Coupled with the sustained pattern of device follow-up (multiple high-count remote monitoring codes) and high ECG volume, this suggests long-term maintenance of a cardiology/EP patient panel and operational workflows for chronic cardiac care and monitoring.

    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.

    42 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…890$90$78.3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…420$140$58.4K
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…30$750$24K
    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…150$130$19.1K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…410$40$17.5K
    99223The 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…100$140$13.5K
    93653A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…20$660$13.2K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,120$10$11.2K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…550$20$11K
    93296The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…670$20$10.8K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9365671040$740$30.3K
    933061860240$70$21.1K
    92928212030$400$18.8K
    9365331020$630$13.9K
    G2066310230$40$13.7K
    93458213060$190$13K
    99214251,810100$70$12.4K
    33208112020$380$12.2K
    9923330937060$90$8.9K
    9335182040$140$8.4K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Rmh Medical Group LLCVAGeneral Practice Physician$0$9.8M
    George JabbourPACardiovascular Disease Physician$882.6K$732.1K
    Ziad KhouryPACardiovascular Disease Physician$1.1M$151.8K
    Basel Al AloulFLInterventional Cardiology Physician$952K$0
    Thomas BascoVAObstetrics & Gynecology Physician$456.5K$0
    Anthony BevilacquaVAOrthopaedic Surgery Physician$385.9K$0
    Catherine BrignoniCANeurology Physician$328.9K$0
    Glenn DeputyVANeurology Physician$311.7K$0
    James IserniaSCInternal Medicine Physician$274.6K$380

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Benefis Hospitals IncMTMulti-Specialty Clinic/Center$0$38.2M
    Great Falls Public SchoolsMTLocal Education Agency (LEA)$0$15M
    Great Falls Pediatric Dentistry, LLCMTPediatric Dentistry$0$14.9M
    Benefis Community Care, Inc.MTCase Management Agency$0$13.2M
    Great Falls Clinic LLCMTMulti-Specialty Clinic/Center$0$11.2M
    Easterseals-goodwill Northern Rocky Mountain, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$7.4M
    Levi C Maltby Dmd P.C.MTDentist$0$6M
    Great Falls Emergency Services IncMTLand Ambulance$842.6K$4.4M
    Benefis Hospitals, Inc.MTAir Ambulance$0$5.2M
    Easterseals Goodwill N. Rocky MtnMTDevelopmentally Disabled Services Day Training Agency$0$3.7M

    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. Montana Distribution
    Alrich Gray — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana