Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alan Cropp (NPI 1033216130)

Field	Value
Entity Type	Individual
Organization	Alan Cropp
Address	925 Trailwood Dr
City	Youngstown
State	OH
ZIP	44512
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$12.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	40	$80	$3.7K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	40	$90	$3.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$110	$2.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	40	$60	$2.3K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	20	$30	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Alan Cropp — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95811	70	160	30	$160	$7.2K
99213	14,028	20,000	70	$50	$6.6K
95810	59	150	30	$130	$5.9K
99204	4,545	8,330	30	$100	$4.4K
95800	8	10	30	$70	$3.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alan Cropp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Toolson	OH	Pulmonary Disease Physician	$155.8K	$0
Ashlee Russo	OH	Pulmonary Disease Physician	$142.7K	$0
Ghazaleh Bigdeli	OH	Pulmonary Disease Physician	$142.4K	$0

Nearby Providers

Other providers in the same ZIP code as Alan Cropp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southerncare, Inc.	OH	Community Based Hospice Care Agency	$0	$42.5M
Mercy Health Youngstown LLC	OH	General Acute Care Hospital	$0	$36.6M
The Surgery Center At Southwoods, LLC	OH	Special Hospital	$0	$20.2M
Homecare With Heart, LLC	OH	Home Health Agency	$0	$19.5M
Aura Genetics Of Ohio, LLC	OH	Clinical Medical Laboratory	$17.9M	$28.4K
Kids Choice LLC	OH	Speech-Language Pathologist	$0	$9.7M
Sacred Arms, Inc.	OH	Home Health Agency	$0	$8.4M
Valley Home Health Care, LLC	OH	Home Health Agency	$0	$7.6M
Travco Behavioral Health, Inc.	OH	Mental Health Counselor	$0	$7.3M
Triad Health Services, LLC	OH	Plastic Surgery Physician	$0	$6.9M

Alan Cropp — Billing Profile & Reimbursement Data

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Alan Cropp — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References