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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Cross
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    Jeffrey Cross — Billing Profile & Reimbursement Data

    NPI 1205872587 · Denver, CO · Surgery Physician

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    Jeffrey Cross is a surgery physician provider located in Denver, Colorado. This profile covers 11 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
    OrganizationJeffrey Cross
    Address2460 W 26th Ave
    CityDenver
    StateCO
    ZIP80211
    TaxonomySurgery Physician
    NPI EnumeratedJune 22, 2006

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

    Payer SourceTotal Paid
    Medicare$70K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43282The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…20$1,390$23.7K
    32663This procedure involves visualizing the chest cavity and the lobe of the lung to remove it.20$1,140$17K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…50$170$8.9K
    43659Use this code to report a new or unusual laparoscopic procedure on the stomach for which there is no specific code available.20$270$5.8K
    32674This procedure involves visualizing the chest cavity and the mediastinal lymph nodes in order to remove them.20$160$3.7K
    99204The 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…20$120$2.8K
    99214The provider sees an established 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…30$100$2.4K
    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…30$70$1.8K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$110$1.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$60$1.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4328261020$940$23.6K
    3266321010$940$13.2K
    992146,7998,16080$80$11.3K
    992135,5357,20070$60$6.6K
    992321,9742,34050$60$6.5K
    4365911020$270$5.8K
    992052091,30020$150$5K
    992042,0803,67030$110$4.7K
    992228571,15020$100$2.7K
    3267421020$110$1.9K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clayton LabaumeCOSurgical Physician Assistant$1.4M$0
    Misbah ZmilyNMInternal Medicine Physician$609.4K$703K
    Samir HadiNVVascular & Interventional Radiology Physician$642.2K$0
    William HowarthCOOrthopaedic Surgery Physician$296.3K$0
    William FaragherCOPhysical Medicine & Rehabilitation Physician$189.2K$106.5K
    John AltmanCOCardiovascular Disease Physician$274.6K$0
    Joshua RenkinCONeurology Physician$228.8K$0
    Douglas OrndorffNMOrthopaedic Surgery of the Spine Physician$198.2K$0
    Jeffrey MoodyCOUrology Physician$197.5K$0
    Cyril BohachevskyCOPhysical Medicine & Rehabilitation Physician$192.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$9.1M
    Statlab Diagnostics, LLCCOClinical Medical Laboratory$100.2K$2.6M
    Cher, LLCCODiagnostic Radiology Physician$214.9K$1.7M
    Urology Surgery Center Of Colorado LLCCOAmbulatory Surgical Clinic/Center$1.6M$138K
    Thomas PughCORadiation Oncology Physician$914.7K$0
    Brian SmithCOUrology Physician$217.1K$0
    Stephen RuyleCOUrology Physician$214K$0
    Julien DagenaisCOUrology Physician$116.8K$0
    Lauren AbramsCOUrology Physician$107.2K$0
    Daniel KaufmanCOUrology Physician$103.2K$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. Colorado Distribution
    Jeffrey Cross — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado