Physician
Craig G Gross MD PC
Craig G Gross MD PC was paid $14K by Medicaid between Jan 2018 and Sep 2019, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 66% of everything it billed.
33Billing provider infoCRAIG G GROSS MD PC
TUCSON, AZ 85710
TUCSON, AZ 85710
33aNPI1851578314assigned 01/28/2008
33bProvider typeGastroenterology Physician
28Total paid$14K
24GClaims755
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#48 of 63
Median peer was paid$93K
This provider vs. median0.1×
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
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 | 386 | $11K | |
| 2019 | 369 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 66% | 170 | 164 | $9K |
| 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 | 26% | 65 | 64 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.8% | 13 | 12 | $1K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 59 | 55 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 42 | 40 | $0.00 |
| 3017F | 0% | 28 | 26 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 315 | 292 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 29 | 27 | $0.00 |
| 4004F | 0% | 34 | 33 | $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 officialCROSS, CRAIG (OWNER)