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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJason Crosson
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    Jason Crosson — Billing Profile & Reimbursement Data

    NPI 1558536169 · Apo, AE · Ophthalmology Physician

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    Jason Crosson is a ophthalmology physician provider located in Apo, Armed Forces Europe. 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. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJason Crosson
    Address700 So 18th Street Ste 707
    CityApo
    StateAE (Armed Forces Europe)
    ZIP35233
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 24, 2008

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer Medicare: lifetime Medicare revenue is $1.2M and there is no Medicaid billing on file, so Medicaid does not appear in this provider’s payer mix. The absence of Medicaid billing suggests the provider’s Medicare activity drives nearly all documented public-payer volume and revenue.

    Revenue is highly concentrated in a very small set of services: the precomputed top‑3 codes account for 86.5% of the provider’s Medicare revenue, led by J0178 at $890.9K (73.2%), followed by 67028 at $102K (8.4%) and 92134 at $60.5K (5.0%). This concentration means a single drug code is the dominant revenue source for the practice.

    The code mix indicates a retina/injection‑centric ophthalmology practice: J0178 (injection, aflibercept) with 1.3K claims and 67028 (intravitreal injection) with 1.2K claims together point to frequent anti‑VEGF treatment sessions, while 92134 (retinal OCT imaging) with 2.2K claims supports routine retinal monitoring. The presence of surgical codes such as 67042 (vitrectomy) and laser code 67210 confirms the practice also performs procedural retinal care, but those contribute a much smaller share of revenue.

    Competitive standing on the leading drug is modest nationally: J0178 ranks #976 of 3204 providers (69th percentile; typical, unremarkable volume for this code), and 67028 ranks #1128 of 4255 (73th percentile; typical, unremarkable volume). In other words, the provider is not a national outlier for injection volume but maintains a meaningful, above‑median caseload for these services.

    Certain utilization measures are markedly above typical national volumes: 92134 ranks #833 of 26868 (97th percentile; notably above typical national volume), and the common outpatient E/M code 99213 ranks #16338 of 457151 (96th percentile; notably above typical national volume). These high percentiles indicate comparatively heavy use of retinal imaging and frequent established‑patient follow‑up visits relative to peers.

    Other codes show mixed competitive signals: J9035 (bevacizumab) appears with $39.3K revenue and ranks #141 of 1852 (92th percentile; typical, unremarkable volume), suggesting modest use of an alternative anti‑VEGF agent, while diagnostic photography 92250 ranks low at #23127 of 25087 (6th percentile; typical, unremarkable volume), indicating some services commonly performed by peers are not major contributors here.

    The provider has long tenure in the NPI registry (NPI enumerated on 2008-04-24 (~18 years ago)), consistent with an established practice profile focused on intravitreal therapy and retinal imaging. Given the heavy reliance on a single high‑value drug code (J0178 at $890.9K, 73.2% of Medicare revenue), shifts in drug selection or reimbursement policy for that agent would have outsized impact on the provider’s Medicare revenue.

    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
    J0178Injection, aflibercept, 1 mg1,310$680$890.9K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,200$90$102K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.2,240$30$60.5K
    J9035Injection, bevacizumab, 10 mg730$50$39.3K
    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…660$60$38.6K
    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…480$80$38K
    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…150$110$16.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$850$16.1K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.40$380$14.2K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.20$30$680

    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. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781101,310$680$890.3K
    670281101,200$90$102.5K
    921341102,240$30$59.9K
    J9035110730$50$39.1K
    6704211020$850$16.1K
    9921432070$90$15.4K
    6721011040$380$14.2K
    9921312060$60$10.8K
    9920421030$110$5.7K
    7651211020$30$680

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uahsf NeonatologyALNeonatal-Perinatal Medicine Physician$0$94M
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    University Of Alabama At BirminghamALClinical Medical Laboratory$2.9K$3.2M
    Chelsea CockrellMSFamily Nurse Practitioner$3M$0
    Jay GloverTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    University Of Alabama At BirminghamALGeneral Acute Care Hospital$0$2.7M
    Kevin BrayNCRetina Specialist (Ophthalmology) Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsALClinical Medical Laboratory$60.5M$289.1M
    The Children's Hospital Of AlabamaALChildren's Hospital$0$59M
    M&o Enterprises LLCALHome Infusion Therapy Pharmacy$0$31.2M
    Medical Resources, IncALOxygen Equipment & Supplies (DME)$0$23.6M
    Southern Lab Partners, LLCALClinical Medical Laboratory$5.4M$14.4M
    Jefferson County Board Of HealthALPublic Health or Welfare Agency$0$12.2M
    The Children's Hospital Of AlabamaALPsychologist$0$12M
    The Children's Hospital Of AlabamaALPediatrics Physician$0$7.5M
    Pediatric Anesthesia Associates PCALAnesthesiology Physician$0$7.2M
    Pediatric Radiology Associates PCALPediatric Radiology Physician$0$6.8M

    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. Armed Forces Europe Distribution
    Jason Crosson — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe