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    OpenPayerNPI Medicare & MedicaidDavid Kraft
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    David Kraft — Billing Profile & Reimbursement Data

    NPI 1871529198 · Tulsa, OK · Geriatric Medicine (Family Medicine) Physician

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    David Kraft is a geriatric medicine (family medicine) physician provider located in Tulsa, Oklahoma. This profile covers 13 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
    OrganizationDavid Kraft
    Address10507 E 91st St
    CityTulsa
    StateOK
    ZIP74133
    TaxonomyGeriatric Medicine (Family Medicine) Physician
    NPI EnumeratedJune 26, 2006

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    DAVID KRAFT’s Medicare activity is overwhelmingly focused on nursing facility E/M visits: the top three Medicare codes (99309, 99308, 99306) account for 88.9% of his total Medicare revenue, indicating his practice is primarily delivering subsequent and initial skilled nursing facility care rather than office-based primary care services. The code descriptions show a mix of subsequent care at moderate and low decision-making levels (99309 and 99308) plus some initial high-complexity visits (99306), consistent with longitudinal facility-based management of older adults.

    Revenue concentration is extreme: 99309 alone represents $737.1K (57.2% of Medicare revenue) and 99308 contributes $370.3K (28.7%), together forming the bulk of billings. The precomputed top-3 share of 88.9% underscores a narrow revenue base where a small number of facility E/M services drive nearly all Medicare receipts, which has implications for business risk if referral patterns or facility contracts change.

    Competitive standing on Medicare for the leading facility E/M codes is exceptionally high: DAVID KRAFT ranks #8 nationally for 99309 (100th percentile, described as an "extreme outlier") and #38 for 99308 (100th percentile, also an "extreme outlier"). These ranks indicate he is a major national outlier in volume for nursing facility subsequent visits and is operating at volumes far above typical peers for those codes.

    For other commonly billed office/outpatient codes (99214, 99215) and selected telehealth/telephone codes (99441–99443, 99442), volumes are modest and generally fall in the mid-to-high percentiles but are a small share of total revenue. This mix suggests occasional outpatient and telephonic management but confirms the dominant business line is on-site nursing facility care rather than ambulatory primary care visits.

    This provider has no Medicaid billing on file, so DAVID KRAFT effectively operates as a single-payer (Medicare) biller in the available data. The absence of Medicaid activity means payer diversification is limited; any payer-focused analysis or contracting should treat him as primarily Medicare-dependent for revenue and utilization insights.

    Tenure is long-standing: his NPI was enumerated on 2006-06-26 (about 20 years ago), indicating an established presence in the market. That length of enrollment coupled with very high Medicare facility volumes suggests sustained relationships with nursing facilities or long-term concentration in geriatric/facility practice.

    Selected secondary Medicare codes show typical national standing rather than outlier behavior: 99306 ranks #828 (94th percentile) and 99310 ranks #1418 (89th percentile), both described as typical or unremarkable volumes relative to peers. These data points imply his initial and high-complexity subsequent facility visits occur but are not the primary drivers compared with the two extremely high-volume subsequent visit codes.

    Operational implication: the dominance of time-based facility E/M codes (99308/99309) implies workflows oriented around frequent, shorter-to-moderate time nursing facility visits and likely scheduled facility rounds. Payer negotiations, utilization management, or network decisions should account for a concentrated service mix tied to institutional geriatrics rather than broad outpatient primary care panels.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…9,330$80$737.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…6,730$60$370.3K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…280$140$37.7K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…310$120$35.4K
    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…370$90$32.4K
    99442N/A290$60$17.4K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…530$30$14.8K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…130$100$12.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$120$10.2K
    99443N/A110$90$9.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993091270170$70$42.7K
    993083270180$50$26.5K
    99310189090$100$26K
    992141,2185,560130$70$18.4K
    99306913060$130$12.3K
    G04395931,20070$90$9.8K
    993052512050$90$8.4K
    992153471,31040$110$8.2K
    9944398030$80$6.4K
    99307910090$30$4.9K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kash BiddleOKGeneral Practice Physician$102K$67.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Francis Hospital South LLCOKGeneral Acute Care Hospital$0$11.1M
    Therapy Works IncOKSpeech-Language Pathologist$0$10.4M
    Pediatric Dental Group Ii, LLCOKPediatric Dentistry$0$8.5M
    Children's Dental Health Center, P.l.c.OKGeneral Practice Dentistry$0$8.2M
    Jenni Burkitt D.d.s. PLLCOKDentist$0$5.9M
    Wellness Health Group, LLCOKClinical Medical Laboratory$5.2M$727K
    Osu Center For Health SciencesOKMedical Specialty Clinic/Center$0$5.8M
    Advanced Pain Of Tulsa PLLCOKPain Medicine (Anesthesiology) Physician$0$5.8M
    Wayne N. Wyatt, Dds, Ms, PCOKOrthodontics and Dentofacial Orthopedics Dentistry$0$4.7M
    Memorial Surgery Center, LLCOKAmbulatory Surgical Clinic/Center$904.1K$3.2M

    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. Oklahoma Distribution
    David Kraft — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma