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    OpenPayerNPI Medicare & MedicaidJoel Craig
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    Joel Craig — Billing Profile & Reimbursement Data

    NPI 1437168390 · Milan, TN · Foot & Ankle Surgery Podiatrist

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    Joel Craig is a foot & ankle surgery podiatrist provider located in Milan, Tennessee. This profile covers 7 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoel Craig
    Address4039 Highland St
    CityMilan
    StateTN
    ZIP38358
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedAugust 7, 2006

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

    Payer SourceTotal Paid
    Medicaid$199.3K
    Medicare$143.1K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,320$60$84.4K
    29540The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,…1,310$30$35.5K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.540$30$15.1K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…70$50$3.6K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.30$80$2.5K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.90$20$1.8K
    29550The provider applies elastic adhesive tape to the toes to hold the joints or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains, dislocations,…40$20$730

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1172136210240$30$9.4K
    992135511,03080$50$8K
    11730156020$70$3K
    2954012020$20$2.7K
    992023743020$40$1.3K
    736202212040$20$1K
    2955011020$10$350

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29540The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,…8,420$10$92.6K
    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…7,420$10$81.7K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.2,730$1$10.9K
    29580The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to…640$10$6.4K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…250$10$3.5K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.510$10$2.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…550$1$1.7K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.80$1$170

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…5074,050620$30$183.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…3431,170170$20$23.8K
    29540The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,…110590$10$17.4K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…10540080$40$14.6K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.23130580$10$12.7K
    29580The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to…210640$10$7.2K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.3240240$10$6.4K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.83050$10$5.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Milan General Hospital, Inc.TNGeneral Acute Care Hospital$0$3.5M
    Lisa MedlinTNFamily Nurse Practitioner$545.1K$0
    Wade ReevesTNFamily Medicine Physician$267.1K$0
    Krystle AndersonTNPhysical Therapist$166.2K$0
    Adam ClarkTNPhysical Therapist$165.5K$0
    Kenneth TozerTNSpecialist$124.1K$2K
    Nicolas AppletonTNInternal Medicine Physician$123K$0
    Dennis WilsonTNClinical Psychologist$55.9K$25.7K

    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. Tennessee Distribution
    Joel Craig — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Joel Craig — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee