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    OpenPayerNPI Medicare & MedicaidMarcis Craig
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    Marcis Craig — Billing Profile & Reimbursement Data

    NPI 1821080441 · Elizabethtown, KY · Orthopaedic Surgery Physician

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    Marcis Craig is a orthopaedic surgery physician provider located in Elizabethtown, Kentucky. This profile covers 33 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
    OrganizationMarcis Craig
    Address1113 Woodland Dr
    CityElizabethtown
    StateKY
    ZIP42701
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 19, 2005

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

    Payer SourceTotal Paid
    Medicare$359K
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…70$980$72.4K
    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…790$60$49.6K
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg6,140$10$43K
    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…530$50$24.7K
    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…320$70$23.5K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,670$10$21.6K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$960$21.1K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.590$30$17.8K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…20$1,100$17.6K
    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…20$920$14.7K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274472016030$1,090$45.7K
    27130429020$1,090$32.6K
    J330413301,570$10$29.3K
    23472346020$780$22.5K
    J73252301,630$10$15.3K
    992142,9057,230110$70$14.1K
    27245144010$810$13.8K
    64721234020$360$11.8K
    992131257,25080$50$7.7K
    206101964080$40$6.6K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$121.5M
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$98.1M
    Baptist Healthcare System IncKYGeneral Acute Care Hospital$0$95.7M
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$72.6M
    Baptist Healthcare System Inc.KYGeneral Acute Care Hospital$0$62.4M
    Baptist Healthcare System, Inc.KYGeneral Acute Care Hospital$0$58.5M
    Baptist Health Medical Group IncKYNurse Practitioner$0$54.1M
    Hardin Memorial HospitalKYGeneral Acute Care Hospital$0$37.2M
    Baptist Healthcare System, Inc.INGeneral Acute Care Hospital$0$34.6M
    Baptist Health Medical Group IncKYInternal Medicine Physician$0$27.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Communicare IncKYCommunity/Behavioral Health Agency$0$205.5M
    Stepworks Recovery Centers LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$67.7M
    Communicare IncKYCommunity/Behavioral Health Agency$0$49.5M
    Pinnacle Treatment Centers Ky-1, LLCKYSubstance Abuse Rehabilitation Facility$0$33.6M
    Lincoln Trail Area Development DistrictKYSupports Brokerage Agency$0$31.4M
    Astra Behavioral Health LLCKYPsychiatry Physician$0$26.1M
    Renest Recovery Support ServicesKYCommunity/Behavioral Health Agency$0$19.9M
    Baptist Health Medical Group IncKYInternal Medicine Physician$0$13.7M
    Elizabethtown Emergency Physicians, LLCKYEmergency Medicine Physician$0$11.9M
    Recovery Center Of Kentucky, LLCKYMental Health Clinic/Center (Including Community Mental Health Center)$0$8.6M

    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. Kentucky Distribution
    Marcis Craig — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky