Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Edward Krusling (NPI 1821227570)

Field	Value
Entity Type	Individual
Organization	Edward Krusling
Address	4900 Houston Rd
City	Florence
State	KY
ZIP	41042
Taxonomy	Hospitalist Physician
NPI Enumerated	July 2, 2009

Payer Source	Total Paid
Medicare	$77.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	550	$60	$31.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	250	$60	$14.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	130	$90	$11K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	280	$40	$10.7K
99223	The 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…	40	$130	$4.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$90	$4.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Edward Krusling — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,117	1,800	80	$90	$14.1K
99232	217	2,860	100	$60	$11.6K
99223	997	1,940	40	$130	$8.6K
99222	121	2,070	30	$90	$4.5K
99231	45	910	40	$40	$3.1K
99238	6	580	30	$60	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summit Medical Group, Inc	KY	Family Medicine Physician	$0	$95.1M
Summit Medical Group, Inc.	KY	Urgent Care Clinic/Center	$0	$4.7M
Summit Medical Group, Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.2M
Angelia Thompson	KY	Ophthalmology Physician	$1.8M	$381.3K
John Gooch	FL	Ophthalmology Physician	$727.5K	$0
John Loudermilk	FL	Family Medicine Physician	$409.9K	$0
Saad Ashraf	GA	Pulmonary Disease Physician	$380.7K	$0
Eli Cianciolo	OH	Pain Medicine (Anesthesiology) Physician	$338.7K	$0
Shoaib Ahmad	OK	Pulmonary Disease Physician	$276.1K	$0
Charles Breen	KY	Ophthalmology Physician	$272.3K	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Personal Touch Home Care Of Ky, Inc.	KY	Home Health Agency	$0	$127.2M
St Elizabeth Medical Center, Inc	KY	General Acute Care Hospital	$0	$65.5M
Northern Kentucky Consumer Directed Options Program	KY	Supports Brokerage Agency	$0	$52.8M
Healthy Adult Day Healthcare, LLC	KY	Adult Day Care Clinic/Center	$0	$37.7M
Dungarvin Kentucky, LLC - Florence	KY	Developmentally Disabled Services Day Training Agency	$0	$35.3M
Northern Kentucky Consumer Directed Option Program	KY	Supports Brokerage Agency	$0	$27.5M
Personal Touch Home Care Of Ky, Inc.	KY	Home Health Agency	$0	$13.2M
Tri-generations, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.2M
Bawac, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Advanced Technology Of Kentucky Inc.	KY	Oxygen Equipment & Supplies (DME)	$0	$5.1M

Edward Krusling — Billing Profile & Reimbursement Data

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Edward Krusling — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References