Physician

Howard M Gross, MD

According to 2025 Medicare claims, Howard Gross, MD (NPI: 1023057148) practices hematology/oncology in the Dayton-Kettering-Beavercreek, OH market, with the plurality of this provider's patient population coming from Montgomery, OH. This provider's primary affiliated billing organization is DAYTON PHYSICIANS, LLC (NPI: 1902844947; TIN: 203130844) and primary practice location at 45415-1333. Gross is affiliated with the Health Centers of Ohio ACO LLC (ACO ID: A5411), participating under the MSSP model.

Gross' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 396 traditional Medicare patients, billed 74,970 HCPCS/CPT codes, and received $1,564,746 in Medicare payments. The top billing code was 78815 (Nuclear medicine study from skull base to mid-thigh with ct scan). Part D data shows 486 prescription claims across 109 beneficiaries totaling $1,180,796 in drug costs, led by Imbruvica (Ibrutinib). 2022 DME data shows 22 claims. Open Payments data shows 87 records totaling $6,117. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $594,661 to $1,564,746. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$865K$1.7M2015 Medicare payment: $594,661 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $777,150 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $807,447 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,490,329 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,240,489 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $900,730 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $871,617 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $812,602 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,729,583 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,564,746 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201545449,723$594,661
201643261,414$777,150
201747758,383$807,447
201859780,405$1,490,329
201956289,919$1,240,489
202045281,501$900,730
202139963,396$871,617
202234061,815$812,602
202332493,576$1,729,583
202439674,970$1,564,746

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$912K$1.8M2015 Drug cost: $1,146,501 (USD; Tot_Drug_Cst)2016 Drug cost: $1,568,053 (USD; Tot_Drug_Cst)2017 Drug cost: $1,703,371 (USD; Tot_Drug_Cst)2018 Drug cost: $1,542,282 (USD; Tot_Drug_Cst)2019 Drug cost: $1,374,738 (USD; Tot_Drug_Cst)2020 Drug cost: $1,824,561 (USD; Tot_Drug_Cst)2021 Drug cost: $1,824,343 (USD; Tot_Drug_Cst)2022 Drug cost: $1,807,014 (USD; Tot_Drug_Cst)2023 Drug cost: $1,360,867 (USD; Tot_Drug_Cst)2024 Drug cost: $1,180,796 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151821,289$1,146,501
20161691,163$1,568,053
20171701,143$1,703,371
20181461,100$1,542,282
2019125932$1,374,738
2020116848$1,824,561
2021102621$1,824,343
202282486$1,807,014
202398536$1,360,867
2024109486$1,180,796

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$16K$32K2015 Medicare payment: $32,261 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $12,847 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $7,492 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,566 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $789 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R77$32,261
2016N/RN/RN/R
2017N/R43$12,847
2018N/R39$7,492
2019N/R12$1,566
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R22$789
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
78815Nuclear medicine study from skull base to mid-thigh with ct scan5963$833
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries4549$616
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more114343$63
96372Injection of drug or substance under skin or into muscle5492$11
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml708,700$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ImbruvicaIbrutinib33924$513,144
LenalidomideLenalidomide23511$240,576
EliquisApixaban412,010$38,460
LetrozoleLetrozole574,645$1,430
ExemestaneExemestane12600$1,145

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.85$1,922ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.2$4,195Genentech, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Howard M. Gross, MD?

Tedicare shows public-source Medicare data for Howard M. Gross, MD (NPI 1023057148), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Howard M. Gross, MD have ACO affiliation data?

Howard M. Gross, MD is shown with ACO affiliation data for Health Centers of Ohio ACO LLC (MSSP, ACO ID A5411).

What billing organization is linked to Howard M. Gross, MD?

Howard M. Gross, MD is linked to DAYTON PHYSICIANS, LLC (billing NPI 1902844947) in the available physician profile data.

Does Howard M. Gross, MD have Open Payments data?

Howard M. Gross, MD has 87 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.