Physician

Joshua C Gross, M.D.

According to 2025 Medicare claims, Joshua Gross, M.D. (NPI: 1144649914) practices ophthalmology in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Greenup, KY. This provider's primary affiliated billing organization is TRI-STATE OPHTHALMOLOGY ASSOCIATES PSC (NPI: 1245261833; TIN: 611209879) and primary practice location at 45638-1730.

Gross' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 518 traditional Medicare patients, billed 1,764 HCPCS/CPT codes, and received $214,761 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 682 prescription claims across 191 beneficiaries totaling $107,475 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 34 records totaling $690. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $5,545 to $107,475. 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$142K$284K2020 Medicare payment: $53,985 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $183,248 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $260,511 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $283,958 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $214,761 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020133435$53,985
20214321,328$183,248
20225251,904$260,511
20235892,185$283,958
20245181,764$214,761

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$54K$107K2018 Drug cost: $5,545 (USD; Tot_Drug_Cst)2019 Drug cost: $2,808 (USD; Tot_Drug_Cst)2020 Drug cost: $8,654 (USD; Tot_Drug_Cst)2021 Drug cost: $79,988 (USD; Tot_Drug_Cst)2022 Drug cost: $98,638 (USD; Tot_Drug_Cst)2023 Drug cost: $103,180 (USD; Tot_Drug_Cst)2024 Drug cost: $107,475 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20182879$5,545
20191132$2,808
20203051$8,654
2021107261$79,988
2022145425$98,638
2023168588$103,180
2024191682$107,475

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
66984Removal of cataract with insertion of prosthetic lens198342$342
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more127127$106
92014Established patient complete exam of visual system132138$73
92134Imaging of retina109123$26
92136Measurement of corneal curvature and depth of eye211318$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine211,170$24,294
XiidraLifitegrast20780$17,439
RocklatanNetarsudil Mesylat/Latanoprost23918$11,902
LumiganBimatoprost241,155$11,047
FluorometholoneFluorometholone641,987$5,236

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.34$690Alcon Vision LLC
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Joshua C. Gross, M.D.?

Tedicare shows public-source Medicare data for Joshua C. Gross, M.D. (NPI 1144649914), 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 Joshua C. Gross, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Joshua C. Gross, M.D.?

Joshua C. Gross, M.D. is linked to TRI-STATE OPHTHALMOLOGY ASSOCIATES PSC (billing NPI 1245261833) in the available physician profile data.

Does Joshua C. Gross, M.D. have Open Payments data?

Joshua C. Gross, M.D. has 34 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.