Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $142.61 | 4 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Lucid Diagnostics Inc. | $115.31 | 2 | $0 (2022) |
| Medtronic, Inc. | $27.30 | 2 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2022 | $128.24 | 3 | Lucid Diagnostics Inc. ($115.31) |
| 2021 | $14.37 | 1 | Medtronic, Inc. ($14.37) |
All Payment Transactions
4 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/15/2022 | Lucid Diagnostics Inc. | — | Food and Beverage | In-kind items and services | $49.20 | General |
| 10/12/2022 | Lucid Diagnostics Inc. | — | Food and Beverage | In-kind items and services | $66.11 | General |
| 02/16/2022 | Medtronic, Inc. | HET (Device) | Food and Beverage | In-kind items and services | $12.93 | General |
| Category: Electrosurgical Products | ||||||
| 05/12/2021 | Medtronic, Inc. | Bravo (Device) | Food and Beverage | In-kind items and services | $14.37 | General |
| Category: Reflux Testing | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 15 | 472 | 479 | $221,485 | $58,831 |
| 2022 | 15 | 530 | 545 | $273,248 | $71,082 |
| 2021 | 16 | 535 | 544 | $254,115 | $71,175 |
| 2020 | 18 | 558 | 572 | $238,892 | $65,760 |
All Medicare Procedures & Services
64 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 49507 | Repair of trapped groin hernia (5 years or older) | Facility | 2023 | 22 | 22 | $36,300 | $9,395 | 25.9% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2023 | 48 | 48 | $35,952 | $8,565 | 23.8% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2023 | 50 | 50 | $26,948 | $7,979 | 29.6% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2023 | 43 | 43 | $23,349 | $7,100 | 30.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 43 | 43 | $12,685 | $4,818 | 38.0% |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 51 | 52 | $18,772 | $3,986 | 21.2% |
| 36561 | Insertion of central venous tube with port (5 years or older) | Facility | 2023 | 14 | 14 | $20,370 | $3,393 | 16.7% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 40 | 40 | $7,840 | $2,956 | 37.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 33 | 33 | $7,524 | $2,778 | 36.9% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 26 | 28 | $11,424 | $2,285 | 20.0% |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | Facility | 2023 | 18 | 18 | $9,774 | $1,975 | 20.2% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 30 | 32 | $5,120 | $1,859 | 36.3% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 23 | 25 | $2,475 | $834.00 | 33.7% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2023 | 17 | 17 | $2,210 | $721.07 | 32.6% |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | Facility | 2023 | 14 | 14 | $742.00 | $187.60 | 25.3% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2022 | 65 | 65 | $35,230 | $10,493 | 29.8% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 56 | 56 | $42,677 | $9,868 | 23.1% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2022 | 47 | 48 | $26,064 | $7,777 | 29.8% |
| 49507 | Repair of trapped groin hernia (5 years or older) | Facility | 2022 | 16 | 16 | $26,400 | $6,586 | 24.9% |
| 47562 | Removal of gallbladder using an endoscope | Facility | 2022 | 12 | 12 | $22,284 | $5,801 | 26.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 49 | 49 | $14,455 | $5,744 | 39.7% |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | Facility | 2022 | 41 | 41 | $22,821 | $4,499 | 19.7% |
| 36561 | Insertion of central venous tube with port (5 years or older) | Facility | 2022 | 19 | 19 | $27,645 | $4,488 | 16.2% |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 55 | 56 | $20,686 | $4,056 | 19.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 48 | 48 | $9,408 | $3,708 | 39.4% |
About Dr. Mark Fox, MD
Dr. Mark Fox, MD is a Surgery healthcare provider based in Crossville, Tennessee. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/14/2006. The National Provider Identifier (NPI) number assigned to this provider is 1073526596.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Mark Fox, MD has received a total of $142.61 in payments from pharmaceutical and medical device companies, with $128.24 received in 2022. These payments were reported across 4 transactions from 2 companies. The most common payment nature is "Food and Beverage" ($142.61).
As a Medicare-enrolled provider, Fox has provided services to 2,095 Medicare beneficiaries, totaling 2,140 services with total Medicare billing of $266,849. Data is available for 4 years (2020–2023), covering 64 distinct procedure/service records.
Practice Information
- Specialty Surgery
- Location Crossville, TN
- Active Since 08/14/2006
- Last Updated 06/07/2021
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1073526596
Products in Payments
- Bravo (Device) $14.37
- HET (Device) $12.93
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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