Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Richard Cross (NPI 1992748602)

Field	Value
Entity Type	Individual
Organization	Richard Cross
Address	619 19th Street South
City	Birmingham
State	AL
ZIP	35233
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicare	$25.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01926	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…	30	$250	$6.3K
01924	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arterial system. This code is used for anesthesia procedures not…	30	$160	$4.6K
00770	The provider performs anesthesia services for a patient undergoing a procedure on the major abdominal blood vessels such as embolectomy, thrombectomy, reconstruction, repair of aneurysm, bypass…	10	$380	$4.5K
01270	The provider performs anesthesia services for a patient undergoing a procedure on the arteries of the upper leg that includes placement of a bypass graft.	10	$270	$3.4K
01916	The provider performs anesthesia services for a patient undergoing diagnostic arteriography or venography.	20	$150	$2.9K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	50	$30	$1.6K
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	10	$120	$1.3K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	10	$60	$690

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Richard Cross — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00770	1	10	10	$380	$4.5K
00537	72	80	20	$170	$4.4K
01916	11	30	20	$130	$3.5K
01270	2	10	10	$200	$2.8K
01926	10	40	20	$130	$2.7K
01924	1	10	10	$150	$2.3K
36556	60	70	20	$60	$1.1K
36620	7	180	20	$30	$680

Richard Cross — Billing Profile & Reimbursement Data

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Richard Cross — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References