Mark Grusso, DPM, PC
Mark Grusso, DPM, PC was paid $104K by Medicaid between Jan 2018 and Sep 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoMARK GRUSSO, DPM, PC
PHILLIPSBURG, NJ 08865
PHILLIPSBURG, NJ 08865
33aNPI1881638674assigned 06/15/2006
33bProvider typePodiatrist
28Total paid$104K
24GClaims3,739
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Podiatrist providers in New Jersey
Rank by total paid#47 of 194
Median peer was paid$17K
This provider vs. median6.0×
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 | 411 | $17K | |
| 2019 | 397 | $16K | |
| 2020 | 617 | $16K | |
| 2021 | 603 | $16K | |
| 2022 | 1,022 | $23K | |
| 2023 | 689 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 88% | 2,692 | 2,431 | $92K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.8% | 901 | 872 | $7K |
| 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 | 3.4% | 91 | 84 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 27 | 27 | $1K |
| 11721 | <1% | 28 | 27 | $93.42 |
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 officialGRUSSO, MARK (PRESIDENT)