Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKristina Kruse
    Ask Trek AI about this page

    Kristina Kruse — Billing Profile & Reimbursement Data

    NPI 1891288007 · Thomson, GA · Family Medicine Physician

    Customize your policy alerts

    Sign up for Kristina Kruse — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Kristina Kruse is a family medicine physician provider located in Thomson, Georgia. This profile covers 34 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKristina Kruse
    Address1043 Washington Rd
    CityThomson
    StateGA
    ZIP30824
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 12, 2018

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

    Payer SourceTotal Paid
    Medicare$101.7K
    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…530$80$42.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$120$10.2K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…140$50$6.7K
    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…110$60$6.4K
    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…40$130$5.5K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…50$70$3.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…70$40$3.1K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…20$120$2.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.280$10$2.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…280$10$2.2K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,37113,640120$80$17.8K
    99490522680160$40$15.1K
    G04391,1762,90070$120$12.4K
    84443344590130$20$10.6K
    8230624647060$30$10K
    80061329640160$10$9.9K
    80053414770190$10$9.7K
    992135,53213,36080$60$9.2K
    992151,3473,27030$120$7.7K
    9943931533070$30$6.5K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan BusbeeGAInternal Medicine Physician$266.2K$1.6M
    Amarabalan RajendranGAPhysical Medicine & Rehabilitation Physician$690.5K$0
    James JacksonGANephrology Physician$301.4K$300.4K
    William MortonGAInternal Medicine Physician$479.3K$0
    David ZimmermanSCFamily Medicine Physician$470K$0
    Tarak PatelGAInfectious Disease Physician$210.1K$252.6K
    Hakeem AyindeVAClinical Cardiac Electrophysiology Physician$426.4K$0
    Leopoldo MunizSCFamily Medicine Physician$414.8K$0
    Meghna KrishnanGADiagnostic Radiology Physician$198.9K$144.7K
    Kashif NaseemGAInternal Medicine Physician$340.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcduffie Medical Associates, PCGAPrimary Care Clinic/Center$0$686.2K
    Mcduffie County Board Of CommissionersGAAmbulance$429.7K$0
    Daryl WileyGAFamily Medicine Physician$273.6K$730
    Charles JonesGAProfessional Counselor$0$240.2K
    Susan LandGAFamily Medicine Physician$157.4K$0
    Mickey StappGAFoot & Ankle Surgery Podiatrist$137.5K$0
    Tyler ProvostGAFamily Medicine Physician$38.8K$0
    Jesse RyanGACertified Registered Nurse Anesthetist$11.8K$0
    Gabriel PittGAAudiologist$1.5K$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. Georgia Distribution
    Kristina Kruse — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia