Crouse Medical Practice, PLLC

Crouse Medical Practice, PLLC was paid $1.72M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoCROUSE MEDICAL PRACTICE, PLLC
SYRACUSE, NY 13210

33aNPI1922321934assigned 03/04/2010

33bProvider typeUrology Physician

28Total paid$1.72M

24GClaims86,269

24DCodes billed66

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#7 of 461

Median peer was paid$6K

This provider vs. median298×

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	5,272	$77K
2019	6,894	$127K
2020	9,128	$149K
2021	17,192	$348K
2022	20,019	$392K
2023	19,341	$412K
2024incomplete	8,423	$217K

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	41%	7,380	7,223	$712K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	16%	38,212	35,522	$274K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.2%	2,204	2,104	$141K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	7.0%	1,619	1,613	$121K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	5.0%	4,203	4,110	$86K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	3.2%	1,698	1,695	$54K
80053	Comprehensive metabolic panel	2.6%	4,140	4,102	$44K
84443	Thyroid stimulating hormone (TSH)	1.9%	3,279	3,266	$32K
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	1.2%	146	146	$20K
80061	Lipid panel	<1%	2,594	2,590	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	124	124	$16K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	4,282	4,222	$15K

54 more codes

G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	1,072	$14K
93000		<1%	990	$14K
76830	Ultrasound, transvaginal	<1%	138	$14K
82728		<1%	938	$14K
95816		<1%	274	$13K
84439		<1%	1,289	$12K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,200	$12K
82607		<1%	905	$12K
80048	Basic metabolic panel (calcium, ionized)	<1%	1,524	$12K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	606	$10K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	90	$9K
87086	Culture, bacterial; quantitative colony count, urine	<1%	600	$5K
82746		<1%	330	$4K
83615		<1%	777	$4K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	195	$4K
83540		<1%	728	$4K
83550		<1%	719	$4K
86780		<1%	259	$4K
81000		<1%	622	$3K
85027		<1%	757	$3K
86803		<1%	176	$2K
80076		<1%	212	$2K
84550		<1%	330	$2K
85610		<1%	401	$2K
0012A		<1%	29	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	17	$999.60
84100		<1%	197	$982.98
99232	Hospital visit by a doctor, follow-up day	<1%	18	$921.26
0011A		<1%	25	$873.52
99406		<1%	65	$834.35
87340		<1%	53	$602.08
86140		<1%	128	$561.60
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	49	$558.42
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	24	$516.22
87660		<1%	31	$478.55
82977		<1%	84	$454.80
87510		<1%	27	$416.55
87480		<1%	27	$416.55
90756		<1%	12	$357.10
85651		<1%	160	$344.22
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	12	$282.84
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	12	$282.84
84153		<1%	13	$240.92
82570		<1%	46	$235.25
82784		<1%	14	$163.68
82248		<1%	28	$144.54
86038		<1%	25	$137.28
82043		<1%	26	$129.97
93018		<1%	12	$127.98
87081		<1%	16	$80.08
83735		<1%	15	$78.26
84703		<1%	24	$53.28
36415	Collection of venous blood by venipuncture	<1%	42	$33.25
83516		<1%	25	$9.22

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 officialKRONENBERG, PAUL (MEMBER)