Kraus, Mark

Kraus, Mark was paid $6K by Medicaid between Jan 2018 and Jun 2024, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 79% of everything it billed.

33Billing provider infoKRAUS, MARK
WORCESTER, MA 01655

33aNPI1144316647assigned 10/04/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$6K

24GClaims112

24DCodes billed2

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Massachusetts

Rank by total paid#99 of 166

Median peer was paid$10K

This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	17	$766.26
2021	15	$878.85
2023	43	$3K
2024incomplete	37	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	79%	82	82	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	30	29	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.