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    OpenPayerNPI Medicare & MedicaidWilliam Krauss
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    William Krauss — Billing Profile & Reimbursement Data

    NPI 1780639492 · Birmingham, AL · Orthopaedic Surgery Physician

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    William Krauss is a orthopaedic surgery physician provider located in Birmingham, Alabama. 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
    OrganizationWilliam Krauss
    Address4517 Southlake Pkwy
    CityBirmingham
    StateAL
    ZIP35244
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 23, 2006

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

    Payer SourceTotal Paid
    Medicare$60.3K
    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
    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…320$60$19.6K
    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…80$80$6.2K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.270$20$5.7K
    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…50$110$5.1K
    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…60$60$3.9K
    29445The provider applies a short leg walking cast, called a total contact cast, or TCC, that covers the lower leg, ankle, and foot to treat diabetic ulcers. The TCC is formed to fit a removable cast shoe…40$90$3.3K
    Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass80$40$2.8K
    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.110$20$2.3K
    28820In this procedure, the provider amputates the toe at the metatarsophalangeal joint. The metatarsophalangeal joint is the joint between the first metatarsal of the foot and the first phalanx of the…20$110$2.3K
    73718In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material.20$120$2.1K

    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
    992144,6097,330120$80$16.8K
    992151,5461,71040$110$8.1K
    992137556,47080$50$7.9K
    9920571782030$140$5K
    992041,2453,75030$100$4.8K
    2944511040$90$3.3K
    992035262,21030$70$3.1K
    2882011020$100$1.9K
    73718164020$80$1.7K
    2940532020$50$1.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin WaldropALDiagnostic Radiology Physician$633.5K$0
    Lauren BannonALPhysician Assistant$561.1K$0
    Michael BrooksALDiagnostic Radiology Physician$340K$0
    Michael SmithALDiagnostic Radiology Physician$311.7K$0
    Aaron ColemanALDiagnostic Radiology Physician$297.3K$0
    Joseph ZarzourALOrthopaedic Surgery Physician$240.4K$0
    William CraigALPhysical Medicine & Rehabilitation Physician$216.4K$0
    Thomas TerralALOrthopaedic Surgery Physician$190.6K$0
    Sarah GoodeALFamily Nurse Practitioner$170.5K$0
    Carter PelhamALDiagnostic Radiology Physician$164K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Children's Hospital Of AlabamaALPediatrics Physician$0$17.7M
    Eh Health Hospice Of Alabama, LLCALCommunity Based Hospice Care Agency$0$7.2M
    Pediatric And Adolescent Dentistry, LLCALPediatric Dentistry$0$5.3M
    Stratford Enterprises IncALCommunity Based Hospice Care Agency$0$4.7M
    Medplex Pediatric Dentistry, Inc.ALPediatric Dentistry$0$3.9M
    Elizabeth PerkinsALRheumatology Physician$2.9M$0
    William ThomasALPediatric Dentistry$0$2.1M
    City Of HooverALLand Ambulance$529.7K$202K
    Diane CounceALNeurology Physician$501.8K$0
    Lindsay KelmensonALRheumatology Physician$413.9K$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. Alabama Distribution
    William Krauss — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama