Physician
Crossroads Health
Crossroads Health was paid $109K by Medicaid between Aug 2021 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoCROSSROADS HEALTH
MENTOR, OH 44060
MENTOR, OH 44060
33aNPI1093307654assigned 02/05/2021
33bProvider typeFamily Medicine Physician
28Total paid$109K
24GClaims2,757
24DCodes billed12
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#223 of 739
Median peer was paid$30K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2021 | 113 | $1K | |
| 2022 | 399 | $14K | |
| 2023 | 536 | $19K | |
| 2024incomplete | 1,709 | $76K |
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 | 70% | 1,580 | 1,460 | $76K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 445 | 381 | $13K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 6.6% | 275 | 216 | $7K |
| 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 | 3.8% | 76 | 61 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 85 | 80 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 78 | 68 | $3K |
| 99401 | <1% | 54 | 48 | $655.28 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 19 | 12 | $518.29 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 18 | 17 | $455.62 |
| 99406 | <1% | 43 | 42 | $324.63 | |
| 96127 | <1% | 51 | 48 | $165.72 | |
| 81002 | <1% | 33 | 30 | $57.45 |
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 officialIDEN, ALICE (COO)
| Provider | Location | Paid |
|---|---|---|
| Crossroads Health | Mentor, OH | $446K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.