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    OpenPayerNPI Medicare & MedicaidDebra Mccroskey
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    Debra Mccroskey — Billing Profile & Reimbursement Data

    NPI 1356438493 · Nashville, TN · Internal Medicine Physician

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    Debra Mccroskey is a internal medicine physician provider located in Nashville, Tennessee. This profile covers 21 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDebra Mccroskey
    Address3601 Tvc
    CityNashville
    StateTN
    ZIP37232
    TaxonomyInternal Medicine Physician
    NPI EnumeratedOctober 9, 2006

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

    Payer SourceTotal Paid
    Medicare$19.8K
    Medicaid$15.8K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…820$10$9K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…330$1$980
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.50$20$920
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…60$20$920
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…50$20$910
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.60$20$830
    71100In this diagnostic procedure, the provider performs a two view unilateral radiological study of the ribs. He performs this procedure to identify problems pertaining to the ribs.60$10$790
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.50$10$700
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.40$20$670
    74019Report this code for two X–ray views of the structures and organs in the abdomen to diagnose certain abdominal problems.50$10$670

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    364152,7433,310120$10$3.2K
    7356232479040$20$1.6K
    71046171,60040$10$1.4K
    7363024978030$20$1.3K
    735024191,02040$20$1.3K
    730303521,01040$20$1.1K
    731406110030$20$1.1K
    7210022697030$20$980
    7313019155030$20$810
    7401850459060$10$810

    Showing 1–10 of 21

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…970$10$10.6K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.290$20$4.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.40$10$560
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.30$10$350
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.20$10$220
    77072In this procedure, the provider measures the degree of skeletal maturity of a child by taking an X–ray image, typically of the left hand and wrist.10$10$160

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…145440390$10$26.9K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.71160230$10$20.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.170220220$10$9.3K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.117150150$10$7.4K
    77072In this procedure, the provider measures the degree of skeletal maturity of a child by taking an X–ray image, typically of the left hand and wrist.1720230$10$6.4K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.91100150$10$5.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kenneth NiermannTNRadiation Oncology Physician$625.8K$0
    Corbin JohnsonTNRadiation Oncology Physician$577.1K$0
    Anthony CmelakTNRadiation Oncology Physician$391.9K$0
    Mark RussellTNDiagnostic Radiology Physician$82.2K$61.7K
    Simone MontoyaTNDiagnostic Radiology Physician$137.8K$0
    Christopher KochTNDiagnostic Radiology Physician$132.7K$360
    Guiyun WuTNNuclear Medicine Physician$130.5K$0
    Heather WalkerTNFamily Nurse Practitioner$128.5K$0
    Kevin McmanusTNDiagnostic Radiology Physician$122.4K$0
    Blake SaltaformaggioTNDiagnostic Radiology Physician$118.9K$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. Tennessee Distribution
    Debra Mccroskey — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Debra Mccroskey — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee