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    OpenPayerNPI Medicare & MedicaidMichael Raklewicz
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    Michael Raklewicz — Billing Profile & Reimbursement Data

    NPI 1770595027 · Kingston, PA · Orthopaedic Surgery Physician

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    Michael Raklewicz is a orthopaedic surgery physician provider located in Kingston, Pennsylvania. This profile covers 14 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
    OrganizationMichael Raklewicz
    Address390 Pierce St
    CityKingston
    StatePA
    ZIP18704
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 13, 2006

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

    Payer SourceTotal Paid
    Medicare$54.7K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…350$50$16.9K
    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…150$60$9.4K
    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…90$70$6.7K
    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,…120$40$4.9K
    J1040Injection, methylprednisolone acetate, 80 mg470$10$4.2K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.130$20$3.1K
    99204The provider sees a new 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 provider…30$110$2.6K
    99214The 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$80$2.6K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.60$30$1.5K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…20$30$770

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921418,72623,230100$80$14.5K
    992135,76822,37070$60$7.7K
    206101791,98060$50$6.7K
    992045,86110,29030$110$5K
    992039207,33030$70$3.5K
    992124904,72030$40$2.3K
    2060516334020$40$1.4K
    735021,0371,33040$20$1.2K
    736301,1421,43040$20$1.2K
    730305461,43040$20$1.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin MustoPAInternal Medicine Physician$414K$230
    Javid AminiPACardiovascular Disease Physician$338.5K$160
    William HottensteinPAInternal Medicine Physician$303.4K$0
    William CharltonPAOrthopaedic Surgery Physician$240.3K$0
    Loren ManginoPAFamily Medicine Physician$236.9K$0
    Michael RittenbergPASpecialist$219.8K$0
    Walter DelgaudioPAUrology Physician$215.7K$0
    Robert FiorelliPAUrology Physician$205.9K$0
    Ron KoneckePADiagnostic Radiology Physician$150.5K$27.2K
    Daniel RittenbergPAUrology Physician$172.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beyond Behavior ConsultingPABehavior Analyst$0$10.3M
    Keystone Behavior Services, LLCPACommunity/Behavioral Health Agency$0$6.1M
    Luzerne Intermediate Unit #18PACommunity/Behavioral Health Agency$0$5.7M
    Bruce SaidmanPAHematology & Oncology Physician$3.4M$1
    David GreenwaldPAHematology & Oncology Physician$2.7M$590
    Erik KrugerPAOphthalmology Physician$2.4M$11.8K
    Surgical Specialty Center Of Northeastern Pennsylvania, LLCPAAmbulatory Surgical Clinic/Center$1.5M$124.1K
    Anthony AndrewsPAOphthalmology Physician$1.3M$100
    Radu PacurariuPAOphthalmology Physician$1M$0
    Mark GroholPAOptometrist$221.5K$697.4K

    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
    Michael Raklewicz — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania