Active NPI 1710919931 Individual Practitioner Male Practitioner

Dr. Andrew Jay Ross , MD

Internal Medicine • Berkeley, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Ross, MD is a certified Internal Medicine practicing in Berkeley, CA. With approximately 36 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1990, Dr. Ross delivers high-quality medical care to the local community at 2320 WOOLSEY ST.

Dr. Ross accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, management using the results of remote vital sign monitoring per calendar month, first, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2320 Woolsey St
Suite 201

Berkeley, CA 947051973

Telephone 5108438002

Fax 5105404808

Associated Practice Facility / Clinic

🏢 The Pediatric Medical Group Facility NPI 1871696278

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Berkeley, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +12.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

92 Specialists

Practicing in Berkeley, CA (18502 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

24.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ross (36 Years) 36 Yrs

Berkeley Specialty Average (23.7 Years) 23.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	4,298	271	$65.00	$48.98
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	2,713	285	$75.00	$63.06
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	1,902	237	$95.00	$68.51
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	893	355	$35.00	$19.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	824	401	$234.06	$159.64
99497 Advance care planning, first 30 minutes	340	339	$125.07	$99.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	338	338	$35.00	$25.50
99213 Established patient office or other outpatient visit, typically 15 minutes	335	228	$167.23	$113.77
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	330	330	$45.05	$31.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	323	323	$226.81	$165.04
G0444 Annual depression screening, 5 to 15 minutes	314	314	$35.00	$25.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	230	144	$109.93	$71.74
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	206	13	$65.00	$60.38
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	110	13	$90.00	$77.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	58	$297.54	$218.01
G0008 Administration of influenza virus vaccine	69	66	$45.00	$38.68
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	67	43	$215.00	$128.82
90662 Influenza vaccine split virus, preservative free	54	52	$95.00	$81.82
99496 Transitional care management services for problem of high complexity	44	39	$425.00	$357.32
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$38.00	$18.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$150.00	$130.80
G0009 Administration of pneumococcal vaccine	29	29	$45.00	$38.68
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	26	26	$45.00	$28.39
69210 Removal of impacted ear wax	22	22	$85.00	$60.51
99495 Transitional care management services for problem of at least moderate complexity	11	11	$325.00	$263.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	4,366	267	$65.00	$47.18
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	2,463	284	$75.00	$59.68
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	1,986	278	$95.00	$68.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	686	386	$179.00	$151.76
99213 Established patient office or other outpatient visit, typically 15 minutes	354	222	$125.00	$104.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	324	324	$180.00	$155.99
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	298	298	$35.00	$30.13
G0442 Annual alcohol misuse screening, 5 to 15 minutes	298	298	$35.00	$23.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	290	198	$80.00	$66.01
G0444 Annual depression screening, 5 to 15 minutes	280	280	$35.00	$23.51
99497 Advance care planning, first 30 minutes	278	271	$137.16	$95.71
G0008 Administration of influenza virus vaccine	108	108	$45.00	$37.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	85	$250.00	$211.12
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	76	76	$45.00	$25.90
90662 Influenza vaccine split virus, preservative free	70	70	$71.00	$69.55
G0009 Administration of pneumococcal vaccine	63	63	$45.00	$37.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	63	63	$150.00	$130.80
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	60	44	$215.00	$122.81
93000 Routine ekg using at least 12 leads including interpretation and report	55	43	$38.00	$17.55
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$35.00	$20.46
99496 Transitional care management services for problem of high complexity	32	30	$325.16	$281.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	14	$35.00	$29.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$300.00	$192.81
69210 Removal of impacted ear wax	16	15	$85.00	$57.56
99495 Transitional care management services for problem of at least moderate complexity	11	11	$277.27	$232.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	1,027	181	$65.38	$46.95
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	841	207	$94.98	$72.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	817	401	$179.00	$146.06
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	755	199	$75.00	$59.12
99213 Established patient office or other outpatient visit, typically 15 minutes	458	259	$125.00	$87.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	287	287	$180.00	$154.17
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	286	286	$35.00	$29.74
G0442 Annual alcohol misuse screening, 5 to 15 minutes	284	284	$35.00	$22.51
G0444 Annual depression screening, 5 to 15 minutes	269	269	$35.00	$22.10
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	193	193	$45.00	$24.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	114	$80.00	$46.74
G0009 Administration of pneumococcal vaccine	112	112	$45.00	$36.38
G0008 Administration of influenza virus vaccine	108	108	$45.00	$36.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	107	107	$149.49	$131.57
99497 Advance care planning, first 30 minutes	105	102	$133.38	$94.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	70	$250.00	$209.68
90662 Influenza vaccine split virus, preservative free	71	71	$71.00	$68.41
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	48	33	$215.00	$120.80
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	36	36	$35.00	$20.05
99496 Transitional care management services for problem of high complexity	32	29	$246.88	$223.79
69210 Removal of impacted ear wax	28	24	$85.00	$55.31
93000 Routine ekg using at least 12 leads including interpretation and report	24	22	$38.00	$17.07
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$292.50	$190.32
17110 Destruction of up to 14 skin growths	12	12	$195.00	$139.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	778	384	$179.00	$153.06
99213 Established patient office or other outpatient visit, typically 15 minutes	430	226	$125.00	$108.42
G0442 Annual alcohol misuse screening, 5 to 15 minutes	293	293	$35.00	$23.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	274	274	$180.00	$156.77
G0444 Annual depression screening, 5 to 15 minutes	208	208	$35.24	$23.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	128	$80.00	$67.91
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	179	179	$35.00	$30.53
G0008 Administration of influenza virus vaccine	84	83	$45.00	$20.91
G0009 Administration of pneumococcal vaccine	77	77	$45.00	$20.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	60	$250.00	$212.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	63	63	$148.57	$125.07
90662 Influenza vaccine split virus, preservative free	56	55	$53.27	$52.45
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	46	34	$215.00	$122.88
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$38.00	$17.84
99496 Transitional care management services for problem of high complexity	33	28	$239.24	$228.41
69210 Removal of impacted ear wax	32	28	$85.47	$55.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	22	$35.00	$28.72
17110 Destruction of up to 14 skin growths	22	21	$195.00	$146.44
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$35.00	$19.91
90670 Pneumococcal vaccine for injection into muscle	16	16	$295.00	$238.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$300.00	$197.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	733	351	$179.13	$129.72
99213 Established patient office or other outpatient visit, typically 15 minutes	493	266	$125.00	$90.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	324	202	$80.00	$55.43
G0442 Annual alcohol misuse screening, 5 to 15 minutes	211	211	$35.00	$22.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$180.00	$140.01
G0008 Administration of influenza virus vaccine	88	88	$45.00	$20.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	70	$250.00	$173.26
90662 Influenza vaccine split virus, preservative free	75	75	$50.00	$50.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	41	$42.21	$28.96
G0009 Administration of pneumococcal vaccine	42	41	$45.00	$20.46
99496 Transitional care management services for problem of high complexity	40	38	$200.00	$202.08
69210 Removal of impacted ear wax	24	21	$89.58	$55.77
17110 Destruction of up to 14 skin growths	23	21	$195.00	$143.88
90670 Pneumococcal vaccine for injection into muscle	22	22	$295.00	$227.02
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$38.00	$20.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	21	$105.00	$104.24
17000 Destruction of skin growth	14	12	$140.00	$74.37
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$40.71	$19.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$96.00	$64.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	936	421	$179.00	$128.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	104	$80.00	$54.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	133	118	$250.00	$171.68
G0442 Annual alcohol misuse screening, 5 to 15 minutes	125	125	$35.00	$22.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$180.00	$138.51
99213 Established patient office or other outpatient visit, typically 15 minutes	109	88	$125.00	$88.69
G0008 Administration of influenza virus vaccine	80	80	$45.00	$19.93
90662 Influenza vaccine split virus, preservative free	70	70	$50.00	$49.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	47	$50.00	$28.41
17110 Destruction of up to 14 skin growths	41	36	$195.00	$140.05
69210 Removal of impacted ear wax	35	29	$86.00	$53.74
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$38.00	$20.71
G0009 Administration of pneumococcal vaccine	31	31	$45.00	$19.53
90670 Pneumococcal vaccine for injection into muscle	19	19	$295.00	$197.81
17000 Destruction of skin growth	18	15	$140.00	$78.11
17003 Destruction of precancer skin growth, 2-14 growths	15	12	$25.00	$6.59
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$105.00	$102.90
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$40.00	$17.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	877	364	$179.00	$125.97
G0008 Administration of influenza virus vaccine	157	154	$45.00	$25.29
99213 Established patient office or other outpatient visit, typically 15 minutes	156	113	$125.00	$86.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$180.00	$138.31
G0442 Annual alcohol misuse screening, 5 to 15 minutes	102	102	$35.00	$22.40
90662 Influenza vaccine split virus, preservative free	87	86	$50.00	$48.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	79	$250.00	$169.04
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	70	69	$40.00	$18.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	49	$80.00	$52.72
G0009 Administration of pneumococcal vaccine	45	45	$45.00	$25.29
90670 Pneumococcal vaccine for injection into muscle	31	31	$295.00	$200.62
17000 Destruction of skin growth	29	25	$140.00	$80.36
17110 Destruction of up to 14 skin growths	27	25	$195.00	$140.18
17003 Destruction of precancer skin growth, 2-14 growths	22	18	$25.00	$6.37
69210 Removal of impacted ear wax	20	18	$86.00	$57.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$105.00	$102.90
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$38.00	$20.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	857	337	$179.11	$136.84
99213 Established patient office or other outpatient visit, typically 15 minutes	198	141	$125.00	$93.05
G0008 Administration of influenza virus vaccine	183	172	$45.00	$31.10
90662 Influenza vaccine split virus, preservative free	142	135	$50.00	$47.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$180.00	$155.08
G0009 Administration of pneumococcal vaccine	62	62	$45.00	$31.10
90670 Pneumococcal vaccine for injection into muscle	60	60	$295.00	$183.12
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	42	42	$40.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$38.00	$22.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$250.00	$183.20
17000 Destruction of skin growth	17	14	$140.00	$84.36
69210 Removal of impacted ear wax	15	15	$86.00	$62.27
17110 Destruction of up to 14 skin growths	12	11	$195.00	$150.05

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G074867

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Deborah Demott , MD

Internal Medicine

NPI 1124040084

Doctor of Medicine (M.D.)

Dr. Natalie Karishev , MD

Family Medicine

NPI 1891800124

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2014

Registered at 2320 WOOLSEY ST, SUITE 201, BERKELEY, CA 947051973 (Tel: 5108438002)

📍

Updated Business Mailing Address January 31, 2014

Registered at 2320 WOOLSEY ST, SUITE 201, BERKELEY, CA 947051973 (Tel: 5108438002)

👤

Provider Name / Credentials Updated January 31, 2014

Recorded as ANDREW ROSS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2014

Internal Medicine (License #G074867 in CA)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710919931

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2006

Last Update: January 31, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2320 Woolsey St, Suite 201

Berkeley, CA 947051973

Phone: 5108438002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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