TRENT WADE CROSS, M.D.
NPI 1053374454, individual, Oneida, TN, Internal Medicine
- Listed on the Medicare revocation list since September 19, 2017.
- Medicaid still paid claims in 8 later months, $60,816 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Sep 19, 2017 | Sep 19, 2027 | 8 | Jan 2018 | Aug 2018 | $61K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TRENT WADE CROSS, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 8, 2006, last updated November 29, 2017 |
| Practice location | 20405 ALBERTA ST, SUITE A, Oneida, TN 37841-3509, 423-286-3400 |
| Mailing address | PO BOX 4937, Oneida, TN 37841-4937 |
| Specialties | Internal Medicine (207R00000X, primary, license MD0000038983 TN) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2010 | Comprehensive medication services per 15 min | $20K | 32% | $223 | $230 (top 5% from $884) | 49th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $19K | 31% | $34 | $60 (top 5% from $133) | 19th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $15K | 24% | $26 | $44 (top 5% from $110) | 22nd percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $4K | 7% | $15 | $12 (top 5% from $49) | 66th percentile | |
| 94760 | Test to measure oxygen level in blood using ear or finger device | $2K | 3% | $5.28 | $0.61 (top 5% from $9.24) | 90th percentile | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | $1K | 2% | $7.07 | $7.31 (top 5% from $17) | 48th percentile | |
| J1071 | Injection, testosterone cypionate, 1 mg | $184 | 0% | $2.71 | $3.91 (top 5% from $14) | too few months to rank | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | $135 | 0% | $1.38 | $0.67 (top 5% from $10) | 63rd percentile |
In this area
4 providers in Scott County, TN carry an indicator in the public record, with $538K at stake between them. The most common is paid after a public list action, on 2 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HUNTSVILLE TN OPCO LLC Huntsville, TN, ranked 6116 | $0 |
|
| 4 | ASHLEY CHITWOOD Oneida, TN, ranked 9232 | $468K |
|
| 5 | SCOTT COUNTY COMMUNITY HOSPITAL, INC. Oneida, TN, ranked 11739 | $54K | |
| 5 | SCOTT COUNTY COMMUNITY HOSPITAL, INC. Oneida, TN, ranked 11894 | $17K |
Recent enforcement in TN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.