Physician

John C Gross, M.D.

According to 2025 Medicare claims, John Gross, M.D. (NPI: 1245209550) practices ophthalmology in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Boyd, 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 422 traditional Medicare patients, billed 1,404 HCPCS/CPT codes, and received $170,377 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 726 prescription claims across 171 beneficiaries totaling $126,409 in drug costs, led by Restasis (Cyclosporine). 2022 DME data shows 12 claims. Open Payments data shows 18 records totaling $477. 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 from a higher plateau to a lower plateau, from $442,098 to $170,377. Similarly, Part D prescription costs have fallen sharply in recent years, from $249,962 to $126,409. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,148	3,924	$442,098
2016	1,126	3,659	$479,737
2017	986	3,238	$494,929
2018	931	3,000	$457,051
2019	983	3,105	$466,650
2020	620	1,830	$250,466
2021	567	1,547	$220,265
2022	558	1,842	$236,296
2023	454	1,567	$199,123
2024	422	1,404	$170,377

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	604	2,004	$249,962
2016	642	2,393	$275,953
2017	692	2,552	$292,618
2018	701	2,616	$302,379
2019	659	2,415	$293,184
2020	212	860	$197,012
2021	192	747	$148,084
2022	175	654	$152,715
2023	179	702	$128,729
2024	171	726	$126,409

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	58	58	$3,937
2016	68	71	$4,294
2017	33	44	$2,986
2018	35	35	$1,659
2019	21	22	$1,106
2020	N/R	N/R	N/R
2021	12	12	$517
2022	12	12	$617
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
66984	Removal of cataract with insertion of prosthetic lens	143	244	$359
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	114	$81
92014	Established patient complete exam of visual system	133	139	$78
92136	Measurement of corneal curvature and depth of eye	160	250	$27
92134	Imaging of retina	82	89	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	31	1,500	$30,272
Xiidra	Lifitegrast	14	660	$15,047
Lumigan	Bimatoprost	17	1,309	$13,383
Cequa	Cyclosporine	11	330	$6,327
Alphagan P	Brimonidine Tartrate	17	814	$5,403

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$477	Alcon Vision LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

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

Tedicare shows public-source Medicare data for John C. Gross, M.D. (NPI 1245209550), 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 John 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 John C. Gross, M.D.?

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

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

John C. Gross, M.D. has 18 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.