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    OpenPayerNPI Medicare & MedicaidDavid Croasdale
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    David Croasdale — Billing Profile & Reimbursement Data

    NPI 1508220229 · Laconia, NH · Surgery Physician

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    David Croasdale is a surgery physician provider located in Laconia, New Hampshire. This profile covers 10 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 Croasdale
    Address80 Highland St
    CityLaconia
    StateNH
    ZIP03246
    TaxonomySurgery Physician
    NPI EnumeratedApril 8, 2016

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

    Payer SourceTotal Paid
    Medicare$33.4K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$210$5.6K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…130$40$4.9K
    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…40$100$4.2K
    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…60$70$4.2K
    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.50$80$4.1K
    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…60$60$3.6K
    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…50$50$2.1K
    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,…80$30$2.1K
    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…10$140$1.8K
    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…30$40$910

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453857910080$250$26.5K
    45380539050$150$10.7K
    43239689070$100$7.7K
    992131,8992,90070$50$6.9K
    45378466020$170$3.9K
    992032291,01030$70$3.3K
    992313643040$40$2.2K
    9921210461030$30$1.8K
    9922148020$60$1.5K
    992024310020$40$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hoke ShirleyNHRheumatology Physician$407K$0
    Jeffrey WileyNHOrthopaedic Surgery Physician$317.2K$0
    Stephen FoxNHAdult Reconstructive Orthopaedic Surgery Physician$257.8K$0
    Hussein El-newihiCAGastroenterology Physician$245K$0
    Guha VenkatramanNJNeurology Physician$230.9K$0
    Lance KlinglerNHOrthopaedic Hand Surgery Physician$211.1K$0
    Sean BurnsNHOrthopaedic Surgery Physician$199.7K$0
    Vercin EphremNHInternal Medicine Physician$192.9K$0
    Douglas MoranNHSports Medicine (Orthopaedic Surgery) Physician$182.5K$0
    Sarah AtkinsonORNeurology Physician$181.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lakes Region Community Services CouncilNHEarly Intervention Provider Agency$0$149M
    The Lakes Region Mental Health Center, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$57.1M
    Concord Hospital-laconiaNHGeneral Acute Care Hospital$0$9.3M
    Laconia Housing & Redevelopment AuthorityNHHome Health Agency$0$6.6M
    Healthfirst Family Care Center, Inc.NHFederally Qualified Health Center (FQHC)$0$5.1M
    LrghealthcareNHFamily Medicine Physician$0$2.9M
    Concord Hospital-laconiaNHMedicare Defined Swing Bed Hospital Unit$0$2.9M
    Concord Hospital-laconiaNHFamily Medicine Physician$0$2.5M
    Laconia School DistrictNHLocal Education Agency (LEA)$0$2.4M
    Sobriety Centers Of New HampshireNHSubstance Use Disorder Rehabilitation Clinic/Center$0$1.7M

    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. New Hampshire Distribution
    David Croasdale — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire