Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Fort Worth › NPI 1568444107
Physician

Pepper, Kraig

Pepper, Kraig was paid $91K by Medicaid between Oct 2020 and Mar 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoPEPPER, KRAIG
FORT WORTH, TX 76132
33aNPI1568444107assigned 11/18/2005
28Total paid$91K
24GClaims3,118
24DCodes billed9
24AFirst – last monthOct 2020 – Mar 2022
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Texas

Rank by total paid#20 of 105
Median peer was paid$11K
This provider vs. median8.2×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2020479$16K
20212,370$66K
2022269$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 867 798 $29K
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 27% 570 532 $25K
20611 22% 433 366 $20K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 160 151 $12K
80305 4.4% 465 415 $4K
73562 1.5% 58 46 $1K
73560 <1% 14 12 $330.46
73565 <1% 32 32 $243.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 519 431 $53.67

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.