Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Northampton › NPI 1427027937
Physician

Cross, Jane

Cross, Jane was paid $75K by Medicaid between Jan 2018 and Jan 2022, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoCROSS, JANE
NORTHAMPTON, MA 01060
33aNPI1427027937assigned 03/16/2006
33bProvider typePediatrics Physician
28Total paid$75K
24GClaims2,257
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#439 of 1,273
Median peer was paid$24K
This provider vs. median3.1×

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$10K$20K2018201920202021202220232024
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
20181,962$67K
201982$5K
2021187$3K
202226$242.12
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 457 451 $28K
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 15% 124 119 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 356 160 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.8% 89 89 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.1% 46 46 $4K
99173 5.0% 167 167 $4K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 4.9% 414 414 $4K
96127 4.0% 256 254 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.4% 20 20 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 116 113 $1K
0071A 1.2% 19 19 $871.72
99051 1.1% 49 49 $850.74
6 more codes
99177 <1% 57 $633.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 28 $572.60
92552 <1% 15 $388.80
92587 <1% 15 $253.35
92558 <1% 16 $122.40
90686 0% 13 $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.