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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Mccrosson
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    John Mccrosson — Billing Profile & Reimbursement Data

    NPI 1407881709 · Mt Pleasant, SC · Adult Reconstructive Orthopaedic Surgery Physician

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    John Mccrosson is a adult reconstructive orthopaedic surgery physician provider located in Mt Pleasant, South Carolina. This profile covers 6 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
    OrganizationJohn Mccrosson
    Address3510 N Highway 17 Ste 105
    CityMt Pleasant
    StateSC
    ZIP29466
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$510.8K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…300$970$289K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…170$980$169.8K
    0055TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…410$110$44.6K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…40$110$4.1K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…70$40$2.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…10$40$560

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447122040$1,090$61.9K
    27130115040$1,060$44.7K
    0055T11040$110$8.3K
    20985183050$110$6.9K
    992121,6331,82030$30$2.5K
    G01803138020$40$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roper Saint Francis Physicians NetworkSCFamily Medicine Physician$0$2.9M
    Roper Saint Francis Physicians NetworkSCFamily Medicine Physician$0$2.8M
    Susan YonceSCFamily Nurse Practitioner$2.3M$0
    Danyel McevoySCAnatomic Pathology & Clinical Pathology Physician$2.3M$0
    Roper Saint Francis Physicians NetworkSCFamily Medicine Physician$0$1.7M
    Roper Saint Francis Physicians NetworkSCClinical Medical Laboratory$40.4K$1.3M
    Kathryn ConnerSCMedical Physician Assistant$904.3K$0
    Stephen RameySCRadiation Oncology Physician$608K$0
    Jeffrey RiederSCInterventional Cardiology Physician$554.1K$0
    Troy BuntingSCCardiovascular Disease Physician$461.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All On Board Speech, LLCSCSpeech-Language Pathologist$0$3.6M
    Roper St. Francis Mount Pleasant HospitalSCGeneral Acute Care Hospital$0$2.5M
    Mt. Pleasant Pediatric Speech Therapy, LLCSCSpeech-Language Pathologist$0$1.9M
    Spoken Word Speech Therapy, LLCSCHome Health Agency$0$1.6M
    Kathleen HoganSCAdult Reconstructive Orthopaedic Surgery Physician$309.6K$0
    Palmetto Endoscopy Center - Mt Pleasant LLCSCAmbulatory Surgical Clinic/Center$301K$0
    John MartSCPhysical Therapist$272K$0
    Joseph SchriverSCPhysical Therapist$202.7K$0
    Collin WeyerSCPhysical Therapist$165.2K$0
    William CarrollSCOrthopaedic Surgery Physician$148.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    John Mccrosson — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina