Active NPI 1730271594 Individual Practitioner Female Practitioner

Dr. M. Elaine Krosse , DPM

Podiatrist • Elyria, OH

Professional Overview & Biography Verified Profile Summary

Dr. M. Krosse, DPM is a registered healthcare professional specializing in Podiatrist in Elyria, OH. Practice services are available at 860 E BROAD ST under active NPI credentials.

Frequently performed procedures and clinical services include removal of fingernails or toenails, residence visit for established patient with straightforward medical decision making, per day, if using time, at least, removal of single thickened skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

860 E Broad St

Elyria, OH 440356542

Telephone 4403224220

Fax 4403224713

Associated Practice Facility / Clinic

🏢 Sana Abumeri M D Inc Facility NPI 1811088107

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Elyria, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Elyria, OH (595 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

16.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	82	27	$41.08	$40.49
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	57	15	$74.73	$43.05
11055 Removal of single thickened skin growth	46	15	$43.44	$42.82
11720 Removal of fingernails or toenails, 1-5 nails	37	15	$41.08	$30.96
99213 Established patient office or other outpatient visit, typically 15 minutes	29	14	$69.19	$67.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	111	34	$41.32	$40.69
11055 Removal of single thickened skin growth	61	23	$43.44	$43.05
99335 Established patient assisted living visit, typically 25 minutes	45	12	$95.96	$91.78
99213 Established patient office or other outpatient visit, typically 15 minutes	43	19	$67.87	$67.20
11056 Removal of noncancer thickened skin growth, 2-4 growths	27	13	$53.18	$52.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	136	45	$41.48	$40.48
11055 Removal of single thickened skin growth	94	34	$43.90	$42.52
99213 Established patient office or other outpatient visit, typically 15 minutes	59	29	$67.18	$66.25
11720 Removal of fingernails or toenails, 1-5 nails	47	19	$29.46	$29.46
11056 Removal of noncancer thickened skin growth, 2-4 growths	32	15	$53.18	$53.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$99.94	$99.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	111	43	$42.05	$39.62
11055 Removal of single thickened skin growth	84	35	$44.47	$41.51
99213 Established patient office or other outpatient visit, typically 15 minutes	75	38	$68.03	$65.90
11720 Removal of fingernails or toenails, 1-5 nails	45	16	$29.46	$29.43
11056 Removal of noncancer thickened skin growth, 2-4 growths	30	16	$53.18	$53.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$99.94	$99.94
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	24	13	$78.58	$78.28
99335 Established patient assisted living visit, typically 25 minutes	20	17	$95.96	$93.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	148	47	$41.81	$39.46
11055 Removal of single thickened skin growth	122	39	$44.15	$41.52
99213 Established patient office or other outpatient visit, typically 15 minutes	109	45	$67.43	$65.58
99335 Established patient assisted living visit, typically 25 minutes	81	31	$95.96	$92.75
11720 Removal of fingernails or toenails, 1-5 nails	62	22	$29.46	$29.09
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	57	18	$78.58	$77.51
11056 Removal of noncancer thickened skin growth, 2-4 growths	37	15	$53.18	$52.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$40.00	$39.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$99.94	$98.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	74	$66.79	$65.87
11721 Removal of fingernails or toenails, 6 or more nails	134	49	$42.08	$39.55
11055 Removal of single thickened skin growth	117	45	$44.36	$41.67
11720 Removal of fingernails or toenails, 1-5 nails	73	23	$29.46	$29.02
11056 Removal of noncancer thickened skin growth, 2-4 growths	55	25	$53.18	$52.41
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	54	20	$78.58	$77.50
99335 Established patient assisted living visit, typically 25 minutes	53	25	$95.96	$92.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$99.94	$98.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$40.00	$39.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$99.41	$98.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	260	108	$66.97	$64.77
11721 Removal of fingernails or toenails, 6 or more nails	120	48	$41.75	$39.27
11055 Removal of single thickened skin growth	87	35	$44.18	$41.33
11056 Removal of noncancer thickened skin growth, 2-4 growths	67	26	$53.18	$51.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	38	$40.00	$38.90
11720 Removal of fingernails or toenails, 1-5 nails	50	18	$29.46	$28.62
99335 Established patient assisted living visit, typically 25 minutes	40	20	$95.81	$88.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$99.94	$97.39
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	28	12	$78.58	$76.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$99.41	$96.26
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	11	11	$94.42	$74.60
99325 New patient assisted living visit, typically 30 minutes	11	11	$92.66	$76.39

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36002297

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0644379 (OH)

Commercial Insurance / Payer ID Med. Mut. Of Ohio/select

42587891 (OH)

Commercial Insurance / Payer ID Med. Mut. Of Ohio/gmcs

8333415578 (OH)

Commercial Insurance / Payer ID Anthem Bc/bs

000000116728 (OH)

Commercial Insurance / Payer ID Railroad Medicare

480006005 (OH)