Physician
David E Ross, JR, MD,PC
David E Ross, JR, MD,PC was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoDAVID E ROSS, JR, MD,PC
GARY, IN 46404
GARY, IN 46404
33aNPI1407985971assigned 03/02/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.06M
24GClaims24,398
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#63 of 408
Median peer was paid$81K
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 | 4,493 | $94K | |
| 2019 | 5,176 | $165K | |
| 2020 | 3,967 | $167K | |
| 2021 | 2,808 | $172K | |
| 2022 | 2,922 | $151K | |
| 2023 | 2,691 | $174K | |
| 2024incomplete | 2,341 | $136K |
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 | 80% | 14,237 | 9,658 | $845K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,601 | 2,600 | $142K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.7% | 293 | 246 | $28K |
| 94010 | 1.3% | 785 | 546 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 135 | 115 | $8K |
| 81002 | <1% | 2,004 | 1,212 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,080 | 1,511 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 34 | 34 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 125 | 91 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | 25 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | 27 | $2K |
| 99383 | <1% | 17 | 12 | $1K |
10 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 76 | $697.83 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 71 | $484.68 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 128 | $358.16 |
| 82947 | <1% | 193 | $286.97 | |
| 99307 | <1% | 18 | $257.84 | |
| 81025 | <1% | 13 | $77.51 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $52.90 |
| 94150 | <1% | 18 | $23.66 | |
| 96127 | 0% | 270 | $0.00 | |
| 2014F | 0% | 229 | $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 officialROSS, NATHANIEL (MEDICAL DIRECTOR)