DR. James M Croak, INC.

DR. James M Croak, INC. was paid $5K by Medicaid between Aug 2019 and Nov 2023, across 4 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 57% of everything it billed.

33Billing provider infoDR. JAMES M CROAK, INC.
PERRYSBURG, OH 43551

33aNPI1487713400assigned 12/06/2006

33bProvider typeGynecology Physician

28Total paid$5K

24GClaims410

24DCodes billed4

24AFirst – last monthAug 2019 – Nov 2023

Compared with peers

Next to other Gynecology Physician providers in Ohio

Rank by total paid#12 of 13

Median peer was paid$20K

This provider vs. median0.2×

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
2019	16	$18.82
2020	50	$46.12
2021	270	$4K
2022	39	$463.89
2023	35	$41.28

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	57%	128	65	$3K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	39%	59	24	$2K
81003		3.7%	136	112	$172.65
99072		<1%	87	73	$6.00

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 officialCROAK, ANDREW (OWNER)