CRAIG KRAUSE, DO
Family Medicine Physician · TAMAQUA, PA
Individual Active NPI 1992805519
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 608 | 2,813 | $353,394 | $207,630 | $166,951 |
| 2023 | 605 | 2,054 | $357,935 | $213,906 | $172,969 |
| 2022 | 615 | 2,366 | $374,218 | $237,582 | $194,712 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 669 | $125 | $82 |
| 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 | 489 | $16 | $12 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 344 | $129 | $129 |
| 90662 | Influenza vaccine split virus, preservative free | 152 | $81 | $81 |
| G0008 | Administration of influenza virus vaccine | 151 | $31 | $31 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 125 | $87 | $55 |
| 83036 | Hemoglobin a1c level | 99 | $9 | $9 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 81 | $165 | $165 |
| 99496 | Transitional care management services for problem of high complexity | 42 | $274 | $212 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 30 | $203 | $158 |
| 96372 | Injection of drug or substance under skin or into muscle | 27 | $14 | $10 |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 21 | $161 | $161 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | OS004401L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.