Clinic
Crossroads Medical Group, PLLC
Crossroads Medical Group, PLLC was paid $914K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoCROSSROADS MEDICAL GROUP, PLLC
WHITE HOUSE, TN 37188
WHITE HOUSE, TN 37188
33aNPI1073539607assigned 07/15/2006
33bProvider typeClinic/Center
28Total paid$914K
24GClaims44,785
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Tennessee
Rank by total paid#11 of 70
Median peer was paid$72K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,723 | $107K | |
| 2019 | 4,474 | $122K | |
| 2020 | 3,929 | $104K | |
| 2021 | 1,298 | $36K | |
| 2022 | 7,715 | $172K | |
| 2023 | 13,241 | $216K | |
| 2024incomplete | 10,405 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59% | 18,466 | 15,502 | $539K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 35% | 9,835 | 7,888 | $320K |
| 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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 1.4% | 2,881 | 2,257 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 964 | 436 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,173 | 1,037 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 293 | 253 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 453 | 392 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,323 | 1,157 | $2K |
| 94726 | <1% | 30 | 26 | $669.96 | |
| 94729 | <1% | 30 | 26 | $662.30 | |
| 94060 | <1% | 32 | 28 | $660.26 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 62 | 52 | $404.55 |
20 more codes
| 81002 | <1% | 95 | $185.11 | |
| 81003 | <1% | 163 | $179.76 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $175.75 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $157.90 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 32 | $114.47 |
| 99490 | Ccm add 20min | <1% | 53 | $44.88 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $16.40 |
| 3074F | <1% | 1,091 | $10.00 | |
| 3008F | <1% | 3,195 | $0.02 | |
| 1160F | <1% | 938 | $0.02 | |
| 1159F | <1% | 1,125 | $0.02 | |
| 1111F | 0% | 1,476 | $0.00 | |
| 3079F | 0% | 156 | $0.00 | |
| 1125F | 0% | 18 | $0.00 | |
| 1220F | 0% | 19 | $0.00 | |
| 1036F | 0% | 34 | $0.00 | |
| 1170F | 0% | 14 | $0.00 | |
| 4010F | 0% | 14 | $0.00 | |
| 1126F | 0% | 21 | $0.00 | |
| 3078F | 0% | 757 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFERGUSON, ROBERT (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Robert B Ferguson M.D. P.C. | West Bloomfield, MI | $428K |
| Chiropractic Rehabilitation and Acupuncture, INC | Indianapolis, IN | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.