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    OpenPayerNPI Medicare & MedicaidMatthew Craig
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    Matthew Craig — Billing Profile & Reimbursement Data

    NPI 1386857282 · Willow Grove, PA · Orthopaedic Surgery Physician

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    Matthew Craig is a orthopaedic surgery physician provider located in Willow Grove, Pennsylvania. This profile covers 17 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
    OrganizationMatthew Craig
    Address2400 Maryland Rd
    CityWillow Grove
    StatePA
    ZIP19090
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 7, 2007

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

    Payer SourceTotal Paid
    Medicare$136.2K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…40$1,050$36.8K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…30$1,020$33.5K
    27228The provider performs an open treatment of a complex fracture of the acetabulum, the cup–shaped socket of the hip joint.10$1,570$18.8K
    27511The provider performs an open reduction and uses screws, pins, or wires to stabilize a supracondylar fracture of the femur (thigh bone); the fracture does not extend into the area between the…20$800$12.8K
    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…170$70$11.9K
    27829In this procedure, the provider surgically repairs the disrupted ligaments of the tibiofibular joint and secures the tibia and the fibula with plates and screws, wires, or pins.10$380$4.9K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…10$240$3.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$150$2.9K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.90$30$2.5K
    73552In this diagnostic procedure, the provider takes an X–ray image of the femur (thigh bone) from a minimum of two projections (directions or angles) to check for fracture, swelling, or other reason for…80$30$2.3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2722811010$1,570$18.8K
    2724539020$890$16K
    2723614010$900$14.4K
    2751111020$800$12.8K
    20680102010$490$8.4K
    992235,0887,02040$130$7.8K
    992135,08022,37070$60$7.7K
    2782921010$350$4.9K
    992036,1527,33030$70$3.5K
    735647671,07050$20$1.6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas Jefferson University Hospitals IncPAGeneral Acute Care Hospital$0$40.3M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Abington Memorial HospitalPAGeneral Acute Care Hospital$0$16.6M
    Richard KaiserPAOphthalmology Physician$6.6M$0
    Joshua CantorPAAnatomic Pathology & Clinical Pathology Physician$2.2M$140.6K
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Farhan TahirPARheumatology Physician$1M$0
    Veronica CovaleskyPACardiovascular Disease Physician$1M$0
    Asif HussainPACardiovascular Disease Physician$980.9K$0
    Eran ZacksNJClinical Cardiac Electrophysiology Physician$870.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$16M
    Central Behavioral HealthPAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.6M
    Second Alarmer's Assn & Rescue Squad Of Montgomery County IncPAParamedic$1.2M$1.8M
    Dennis JerdanPARheumatology Physician$2.5M$0
    Sarah ColemanPARheumatology Physician$2.4M$0
    Elana EisnerPARheumatology Physician$2.1M$0
    Charles PritchardPARheumatology Physician$2.1M$0
    David ChesnerPARheumatology Physician$1.6M$0
    Marguerite McgarveyPARheumatology Physician$1.5M$0
    Dana Jacobs-kosminPARheumatology Physician$1.4M$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. Pennsylvania Distribution
    Matthew Craig — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania