Physician
David G Gross DO, PC
David G Gross DO, PC was paid $715K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoDAVID G GROSS DO, PC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1073646089assigned 03/13/2007
33bProvider typeOphthalmology Physician
28Total paid$715K
24GClaims17,105
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Indiana
Rank by total paid#12 of 107
Median peer was paid$43K
This provider vs. median17×
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 | 3,026 | $71K | |
| 2019 | 4,308 | $159K | |
| 2020 | 2,029 | $90K | |
| 2021 | 2,180 | $104K | |
| 2022 | 1,806 | $100K | |
| 2023 | 2,036 | $102K | |
| 2024incomplete | 1,720 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 4,647 | 4,225 | $263K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 1,538 | 1,452 | $124K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 1,989 | 1,771 | $63K |
| 92083 | 8.2% | 1,825 | 1,698 | $58K | |
| 99205 | Prolong outpt/office vis | 5.3% | 297 | 266 | $38K |
| 92133 | 4.8% | 1,539 | 1,445 | $34K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.9% | 342 | 301 | $28K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 3.1% | 150 | 90 | $22K |
| 92136 | 3.0% | 1,455 | 822 | $21K | |
| 92015 | Determination of refractive state | 2.9% | 1,519 | 1,370 | $21K |
| V2020 | Frames, purchases | 1.9% | 578 | 524 | $13K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 496 | 247 | $13K |
6 more codes
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 officialGROSS, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| David C Gross, MD, PC | Washington, DC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.