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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Cromwell
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    David Cromwell — Billing Profile & Reimbursement Data

    NPI 1063415271 · Lutherville, MD · Gastroenterology Physician

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    David Cromwell is a gastroenterology physician provider located in Lutherville, Maryland. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Cromwell
    Address10751 Falls Rd Ste 401
    CityLutherville
    StateMD
    ZIP21093
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 23, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$88.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…220$110$23.6K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…80$170$13.8K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$120$6.6K
    99213The 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…100$60$6.3K
    99203The provider sees a new 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 provider…80$80$6.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.80$70$6K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…70$50$3.7K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$60$3.5K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…20$120$2.6K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.20$130$2.5K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538516536080$310$35.6K
    453803437070$220$26.4K
    992149,22010,270150$90$24.1K
    4323918938080$140$17.7K
    992134,6389,280100$60$12.5K
    43248233030$200$9.1K
    453783522030$210$8.2K
    992044,9955,38040$120$7.3K
    45381146020$140$5K
    992039203,63040$80$5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greater Baltimore Medical Center, Inc.MDGeneral Practice Physician$0$9.4M
    Tidalhealth Peninsula Regional, Inc.MDGeneral Acute Care Hospital$0$7.6M
    Mei TangMDMedical Oncology Physician$6.9M$0
    Justin KucinskiMDInternal Medicine Physician$6.9M$0
    Union Hospital Of Cecil CountyMDInternal Medicine Physician$0$4.9M
    Tanya CliffordMDNurse Practitioner$2.9M$0
    Union Hospital Of Cecil CountyMDGeneral Acute Care Hospital$182.5K$1.7M
    Gregory GagnonMDRadiation Oncology Physician$1.6M$0
    Kazi KhanMDNephrology Physician$1.6M$0
    Elhamy EskanderMDMedical Oncology Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mosaic Community Services, Inc.MDRehabilitation Clinic/Center$0$21.1M
    Maxim Healthcare Services, Inc.MDHome Health Agency$0$18.4M
    Stella Maris Inc.MDCommunity Based Hospice Care Agency$0$16.9M
    Glass Health Programs, Inc.MDSubstance Use Disorder Rehabilitation Clinic/Center$479.3K$8.7M
    William SharfmanMDMedical Oncology Physician$9.1M$0
    Mosaic Community Services, Inc.MDAdult Mental Health Clinic/Center$0$7.1M
    Windrush Behavioral Health, LLCMDSpecialist$0$7M
    Psych Associates Of Maryland LLCMDPsychologist$0$5.8M
    Katzen Medical Associates, PCMDOphthalmology Physician$0$5.6M
    Richard HusligMDHematology & Oncology Physician$4.9M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    David Cromwell — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland