Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cross, Adam

Cross, Adam was paid $9K by Medicaid between Jun 2021 and Dec 2023, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 65% of everything it billed.

33Billing provider infoCROSS, ADAM
ALBUQUERQUE, NM 87106
33aNPI1306208541assigned 03/27/2016
33bProvider typePediatrics Physician
28Total paid$9K
24GClaims173
24DCodes billed3
24AFirst – last monthJun 2021 – Dec 2023
Compared with peers

Next to other Pediatrics Physician providers in New Mexico

Rank by total paid#44 of 53
Median peer was paid$535K
This provider vs. median0.0×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202121$877.06
202258$3K
202394$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 65% 130 67 $6K
99239 Hospital discharge day management, more than 30 minutes 20% 27 27 $2K
99222 Initial hospital care, per day, moderate complexity 15% 16 15 $1K

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.