Physician
Cross Medical Primary Care
Cross Medical Primary Care was paid $543K by Medicaid between Jan 2018 and Oct 2019, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoCROSS MEDICAL PRIMARY CARE
MEMPHIS, TN 38141
MEMPHIS, TN 38141
33aNPI1619403870assigned 05/10/2017
33bProvider typeFamily Medicine Physician
28Total paid$543K
24GClaims27,062
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#99 of 754
Median peer was paid$34K
This provider vs. median16×
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 | 17,001 | $332K | |
| 2019 | 10,061 | $211K |
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 | 20% | 2,149 | 1,643 | $109K |
| 96130 | 13% | 1,167 | 855 | $73K | |
| 96120 | 12% | 1,965 | 1,546 | $68K | |
| 96103 | 8.7% | 2,264 | 1,701 | $47K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 712 | 636 | $44K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.1% | 530 | 494 | $39K |
| 96136 | 6.6% | 1,205 | 876 | $36K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 389 | 335 | $13K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 2.3% | 632 | 540 | $13K |
| 99354 | 2.0% | 206 | 183 | $11K | |
| 93000 | 1.8% | 612 | 528 | $10K | |
| 81000 | 1.6% | 2,153 | 1,563 | $8K |
20 more codes
| 82948 | 1.5% | 2,036 | $8K | |
| 99050 | 1.2% | 334 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 537 | $6K |
| 99402 | 1.1% | 107 | $6K | |
| 81025 | 1.0% | 924 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 454 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,109 | $5K |
| 99497 | <1% | 167 | $5K | |
| 87210 | <1% | 1,181 | $5K | |
| 85018 | <1% | 1,474 | $4K | |
| 85013 | <1% | 1,179 | $4K | |
| 99385 | <1% | 87 | $4K | |
| 82962 | <1% | 1,162 | $4K | |
| 81003 | <1% | 1,147 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $2K |
| 69210 | <1% | 21 | $765.77 | |
| 92552 | <1% | 12 | $188.20 | |
| 96127 | <1% | 17 | $67.38 | |
| 96160 | <1% | 82 | $63.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 22 | $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 officialJACKSON, TERMARIA (PRACTICE MANAGER)