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 Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Jeffrey Kraus (NPI 1871833087)

Field	Value
Entity Type	Individual
Organization	Jeffrey Kraus
Address	5514 Lancaster Ln
City	Commerce Township
State	MI
ZIP	48382
Taxonomy	Occupational Therapist
NPI Enumerated	February 25, 2013

Payer Source	Total Paid
Medicare	$13.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	70	$70	$5.4K
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	300	$20	$5.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	150	$20	$2.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Jeffrey Kraus — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	97	650	50	$20	$2.4K
97542	1	10	90	$20	$2.3K
97167	2	20	30	$70	$2.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Huron Valley-sinai Hospital Inc	MI	General Acute Care Hospital	$0	$9.3M
Fadi Eliya	MI	Urology Physician	$309.1K	$0
Norman Markowitz	MI	Internal Medicine Physician	$230.2K	$0
Annette Lacasse	MI	Dermatology Physician	$150.5K	$0
Jay Kozlowski	MI	Cardiovascular Disease Physician	$115.4K	$0
Howard Yerman	MI	Otolaryngology Physician	$96.5K	$0
Matthew Brown	MI	Podiatrist	$92.2K	$0
Jay Szekely	MI	Facial Plastic Surgery Physician	$72K	$0
Frederick Tonnos	MI	Orthopaedic Surgery Physician	$71.8K	$0
Michael Aulicino	MI	Anatomic Pathology & Clinical Pathology Physician	$54.4K	$0

Jeffrey Kraus — Billing Profile & Reimbursement Data

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Jeffrey Kraus — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References