RICHARD CROSS, MD
Nephrology Physician · SAINT CLAIR SHORES, MI
Individual Active NPI 1972771061
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 449 | 1,762 | $1,343,136 | $506,820 | $399,856 |
| 2023 | 564 | 2,327 | $1,253,824 | $493,172 | $387,343 |
| 2022 | 620 | 2,334 | $1,196,339 | $506,863 | $401,461 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 299 | $136 | $102 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 292 | $84 | $68 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 228 | $18 | $14 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 141 | $311 | $251 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 110 | $49 | $39 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 84 | $214 | $173 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 83 | $12 | $9 |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 80 | $1,156 | $902 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 42 | $140 | $111 |
| 36215 | Insertion of tube into chest or arm artery, each first order branch | 36 | $498 | $397 |
| 75710 | Review by radiologist of arm or leg artery image | 36 | $151 | $121 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 36 | $95 | $75 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 4301086082 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Michigan
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- NPI 1548254899
- NPI 1457865354
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.