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NPI 1437135779 · Melrose, MA · Cardiovascular Disease Physician
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David Criss is a cardiovascular disease physician provider located in Melrose, Massachusetts. This profile covers 39 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Criss |
| Address | 50 Rowe St |
| City | Melrose |
| State | MA |
| ZIP | 02176 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | December 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $589.8K |
| Medicaid | $560 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
39 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,420 | $70 | $93.9K |
| 99214 | The 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… | 950 | $100 | $93K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 650 | $120 | $76.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 490 | $140 | $68.9K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 190 | $330 | $62.4K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 320 | $140 | $44.3K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 300 | $100 | $28.4K |
| 93000 | The 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… | 1,500 | $10 | $18K |
| 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… | 130 | $130 | $17K |
| 99442 | N/A | 320 | $50 | $14.9K |
Showing 1–10 of 39
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
39 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 41 | 540 | 310 | $80 | $26.3K |
| 99214 | 234 | 15,410 | 110 | $80 | $15.6K |
| A9500 | 6 | 80 | 140 | $90 | $15.2K |
| 78452 | 20 | 340 | 70 | $160 | $13.4K |
| G0439 | 22 | 3,350 | 70 | $120 | $11.9K |
| 99232 | 2,773 | 5,400 | 70 | $60 | $9.3K |
| 99213 | 64 | 13,700 | 70 | $60 | $8.8K |
| 90694 | 401 | 1,530 | 50 | $70 | $8.6K |
| 93458 | 83 | 110 | 30 | $200 | $8.4K |
| J2785 | 30 | 110 | 140 | $40 | $7.9K |
Showing 1–10 of 39
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 90 | $10 | $550 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 366 | 590 | 200 | $1 | $25.3K |
Other providers in the same ZIP code as David Criss, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Melrose | MA | Land Ambulance | $282.5K | $463.7K |
| Salil Midha | MA | Cardiovascular Disease Physician | $363.6K | $5.2K |
| Jingli Ma | MA | Pulmonary Disease Physician | $204.3K | $0 |
| Carl Turissini | MA | Interventional Cardiology Physician | $183.3K | $410 |
| Mark Berenson | MA | Orthopaedic Surgery Physician | $127.5K | $14.5K |
| Keith Linsey | MA | Physical Therapist | $101K | $0 |
| Partha Sinha | MA | Endocrinology, Diabetes & Metabolism Physician | $82K | $7.9K |
| Coralli So | MA | Vascular & Interventional Radiology Physician | $52.2K | $0 |
| Jennifer Chee | MA | Clinical Cardiac Electrophysiology Physician | $38K | $0 |
| Michael Mcglynn | MA | Physician Assistant | $35.7K | $0 |
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