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    OpenPayerNPI Medicare & MedicaidChristopher Cronsell
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    Christopher Cronsell — Billing Profile & Reimbursement Data

    NPI 1831212109 · Milwaukee, WI · Physical Medicine & Rehabilitation Physician

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    Christopher Cronsell is a physical medicine & rehabilitation physician provider located in Milwaukee, Wisconsin. This profile covers 24 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
    OrganizationChristopher Cronsell
    Address3237 S 16th St
    CityMilwaukee
    StateWI
    ZIP53215
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedApril 9, 2007

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer at scale: Total Medicare revenue is $1.4M while Total Medicaid revenue is none (no Medicaid billing on file), so Medicare drives the entire recorded public-payer footprint. That concentration means network access or reimbursement changes by Medicare would materially affect this provider's public-payor revenue base.

    Revenue is highly concentrated in three injectable/infusion products: the precomputed top 3 Medicare codes by revenue account for 94.8% of this provider's total Medicare revenue. Those codes are J2350 (17.4K claims, $46 avg paid/claim, $800.4K revenue, 56.6% of this provider's total Medicare revenue), J3245 (3.9K claims, $110 avg paid/claim, $429K revenue, 30.3% of this provider's total Medicare revenue) and J0585 (22.4K claims, $5 avg paid/claim, $112K revenue, 7.9% of this provider's total Medicare revenue).

    The clinical and service-line mix implied by the top codes points to an infusion- and injection-centric operation that treats neurologic and dermatologic indications: J2350 is ocrelizumab (an MS biologic), J3245 is tildrakizumab (a dermatologic biologic), and J0585 is onabotulinumtoxina (chemodenervation/Botox). Supplemental procedure codes (e.g., 95886: 210 claims, $60 avg paid/claim, $12.6K revenue; 95911: 80 claims, $131 avg paid/claim, $10.5K revenue; 95874: 139 claims, $29 avg paid/claim, $4K revenue) show concurrent EMG/nerve conduction and chemodenervation services consistent with a Physical Medicine & Rehabilitation practice that provides both diagnostic electrodiagnostic testing and injectable biologic/neuromodulator therapies.

    Competitive standing by code is mixed: J2350 ranks #33 of 105 providers nationally (69th percentile; typical, unremarkable volume for this code), J3245 ranks #104 of 225 providers nationally (53th percentile; typical, unremarkable volume for this code), while J0585 ranks #426 of 3636 providers nationally (88th percentile; typical, unremarkable volume for this code). These ranks indicate the provider is a modest-to-strong participant for Botox units and a typical-volume participant for the two biologic injectables at the national level.

    Several non-biologic services show above-average placement within their national peer groups and support the practice’s procedural capacity: 95886 ranks #1043 of 6525 providers nationally (84th percentile; typical, unremarkable volume for this code), 95911 ranks #391 of 3298 providers nationally (88th percentile; typical, unremarkable volume for this code), and 95874 ranks #94 of 1137 providers nationally (92th percentile; typical, unremarkable volume for this code). Together these codes suggest consistent throughput for electrodiagnostic and chemodenervation procedures beyond the high-revenue injectable lines.

    Operational implications are visible in claim and payment patterns: high claim counts for J2350 (17.4K claims) and J0585 (22.4K claims) alongside relatively low avg paid/claim figures for those entries ($46 avg paid/claim for J2350 and $5 avg paid/claim for J0585) imply a high-volume, low-unit-payment model for injections that requires infusion/administration capacity, inventory handling, and ongoing billing reconciliation. The presence of multiple infusion and additive codes (e.g., 96365, 96413, 96415) further signals routine management of infusion workflows and per-session billing complexity.

    From a tenure and continuity perspective, the provider’s NPI was enumerated on 2007-04-09 (~19 years ago), indicating a long-standing billing presence in Medicare that can inform network or contracting assessments. That multi-year presence, combined with the concentrated revenue profile, suggests established operational patterns rather than a nascent or recently shifted billing strategy.

    Payer-mix and coverage risk should be monitored: because Total Medicaid revenue is none (no Medicaid billing on file), the provider lacks a recorded Medicaid presence and is exposed to Medicare-only public-payer risk. For payers or analysts evaluating access, capacity, or contracting, this provider represents a Medicare-focused specialty injector/infusion practice with limited (if any) Medicaid participation to support dual-payer negotiations or state-level safety-net planning.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2350Injection, ocrelizumab, 1 mg17,400$50$800.4K
    J3245Injection, tildrakizumab, 1 mg3,900$110$429K
    J0585Injection, onabotulinumtoxina, 1 unit22,400$10$112K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…210$60$12.6K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…80$130$10.5K
    J0475Injection, baclofen, 10 mg110$80$8.1K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…70$90$6.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.140$50$6.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…60$90$5.8K
    95874In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…140$30$4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J235011010,800$50$576.1K
    J32452103,850$110$446.3K
    J05857607,900$1$53.1K
    J0475410190$130$23.6K
    964135580110$90$12.7K
    992148,0749,80080$70$9.2K
    96365229050$50$5.8K
    64644112050$90$5.2K
    6461642040$100$5.1K
    95886412060$60$4K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason RaaschMNAllergy & Immunology Physician$2.1M$0
    Emma SinghPAFamily Medicine Physician$1.5M$0
    Andrea GillonMIFamily Nurse Practitioner$1.4M$0
    Kimberly AgimMINurse Practitioner$1.1M$0
    Andrea EntersWIGerontology Nurse Practitioner$92.9K$0
    Nicholas KetchumWIPhysical Medicine & Rehabilitation Physician$82.5K$0
    Thomas VargheseWINeurology Physician$50.1K$580
    Anna CluskeyWIMedical Physician Assistant$19.3K$0
    Bhupendra KhatriWINeurology Physician$17.1K$0
    Ashley DesrocherMINurse Practitioner$8.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Health Care Metro, Inc.WIGeneral Acute Care Hospital$0$181.9M
    Aurora Medical Group, Inc.WICertified Registered Nurse Anesthetist$2.2K$139.2M
    Ascension St Francis Hospital, IncWIGeneral Acute Care Hospital$0$35.9M
    Jeffrey WeberWIGastroenterology Physician$20.8M$0
    Sixteenth Street Community Health Centers, Inc.WIFederally Qualified Health Center (FQHC)$0$13.8M
    Familia Dental Mkemitchell LLCWIDental Clinic/Center$0$8.5M
    Ermed, ScWIEmergency Medicine Physician$0$8.1M
    Midwest Nephrology Associates, S.c.WINephrology Physician$0$5.7M
    Bright Dental 1 LLCWIGeneral Practice Dentistry$0$4.6M
    Fresenius Medical Care Midwest Dialysis, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M

    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. Wisconsin Distribution
    Christopher Cronsell — 3 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin