Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Richard Craig (NPI 1174613764)

Field	Value
Entity Type	Individual
Organization	Richard Craig
Address	50 N Medical Dr
City	Salt Lake City
State	UT
ZIP	84132
Taxonomy	Gastroenterology Physician
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicare	$44.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	180	$120	$22K
45385	The 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…	40	$210	$8.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	60	$90	$5.3K
99213	The 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…	90	$40	$3.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	10	$160	$2.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	30	$70	$2K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…	260	$1	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Richard Craig — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	63	100	50	$270	$23.3K
45380	13	120	50	$170	$13.8K
99214	3,265	4,080	80	$80	$11.6K
G0105	56	60	30	$260	$10.3K
43239	52	110	60	$100	$9.2K
99213	1,406	3,680	60	$50	$6.4K
G0500	2	30	130	$1	$450

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Community Physicians Group	UT	General Practice Physician	$0	$36M
Steven Craig	UT	Podiatrist	$128.7K	$124K
Robert Tashjian	UT	Orthopaedic Surgery Physician	$139.2K	$0
Aubrey Kruisman	UT	Family Nurse Practitioner	$111.2K	$0
Terrence Bjordahl	UT	Nephrology Physician	$98.1K	$1.5K
Kimberly Jensen	NM	Internal Medicine Physician	$91.1K	$0
Douglas Adler	CO	Gastroenterology Physician	$85.4K	$0
Jeffrey Olpin	UT	Diagnostic Radiology Physician	$55.4K	$0
Edward Quigley	UT	Diagnostic Radiology Physician	$53.9K	$0
Zachary Krahn	UT	Diagnostic Radiology Physician	$47.5K	$2.1K

Richard Craig — Billing Profile & Reimbursement Data

Sign up for Richard Craig — Billing Profile & Reimbursement Data policy alerts

Richard Craig — Billing Profile & Reimbursement Data

Sign up for Richard Craig — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References