DONALD GROSS, MD
Surgery Physician · TUSCALOOSA, AL
Individual Active NPI 1720088834
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 198 | 553 | $301,801 | $127,251 | $100,438 |
| 2023 | 210 | 521 | $311,739 | $136,949 | $107,275 |
| 2022 | 206 | 801 | $405,910 | $247,105 | $195,274 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 54 | $149 | $114 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 45 | $44 | $35 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 45 | $112 | $81 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 40 | $100 | $80 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $75 | $55 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 28 | $115 | $92 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | $158 | $126 |
| 47562 | Removal of gallbladder using an endoscope | 19 | $460 | $359 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | $72 | $58 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 12 | $16 | $13 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 12 | $267 | $213 |
| 19083 | Biopsy of breast and placement of locating device using ultrasound, first growth | 11 | $132 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 10956 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.