Kralios, Constantine

Kralios, Constantine was paid $64K by Medicaid between Dec 2020 and Nov 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 71% of everything it billed.

33Billing provider infoKRALIOS, CONSTANTINE
WEST MIFFLIN, PA 15236

33aNPI1396747713assigned 08/15/2005

33bProvider typeObstetrics & Gynecology Physician

28Total paid$64K

24GClaims1,136

24DCodes billed4

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#118 of 511

Median peer was paid$14K

This provider vs. median4.5×

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
2020	14	$539.00
2021	123	$8K
2022	281	$16K
2023	376	$20K
2024incomplete	342	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	71%	533	439	$45K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	436	431	$17K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.1%	13	13	$706.19
81025		1.0%	154	152	$654.80

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.