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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Krone
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    Peter Krone — Billing Profile & Reimbursement Data

    NPI 1164429288 · Granbury, TX · Surgery Physician

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    Peter Krone is a surgery physician provider located in Granbury, Texas. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPeter Krone
    Address1208 Medical Plaza Ct
    CityGranbury
    StateTX
    ZIP76048
    TaxonomySurgery Physician
    NPI EnumeratedJuly 5, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$57.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…100$170$17K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$490$8.3K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…80$80$6.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$180$5.6K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.10$390$4.7K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…10$230$3.3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…10$210$2.7K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk10$180$2.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…30$60$1.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$140$1.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851,0521,13050$280$26.4K
    45384107030$220$12.1K
    G010525261030$270$12K
    432391,1871,21070$120$11.3K
    4965010814020$500$9K
    G012152161020$270$8.9K
    475624617010$530$8.5K
    9921322,42429,79070$60$8.4K
    3656114123020$350$7.8K
    4537842952020$190$5.4K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Peter Krone, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ahmed BhattiTXPulmonary Disease Physician$234.6K$0
    Peter O'carrollTXNeurology Physician$210.8K$0
    Bishnu SapkotaTXNeurology Physician$206.6K$0
    Paul GoldmanTXEmergency Medicine Physician$107.8K$0
    Murthy ChamarthyTXVascular & Interventional Radiology Physician$98.7K$0
    Owen MaatTXGastroenterology Physician$94.7K$0
    Tariq KhanTXGastroenterology Physician$52.1K$0
    Brett PicciottiTXNeuromusculoskeletal Medicine & OMM Physician$50.2K$0
    Donald HowserTXObstetrics & Gynecology Physician$21.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Peter Krone, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DspainTXMedical Oncology Physician$2.6M$0
    Air Evac Ems Inc.TXAir Ambulance$655.5K$0
    Baylor Surgicare At Granbury LLCTXAmbulatory Surgical Clinic/Center$602.1K$0
    Nicole BartoshTXMedical Oncology Physician$498.4K$0
    Donald BrownTXDermatology Physician$374.4K$0
    Charles SmithTXFamily Medicine Physician$360.2K$0
    Christopher BuchananTXUrology Physician$265.9K$0
    Richard AdamsTXPodiatrist$63.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Peter Krone — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas