What is James Kraus's specialty?

James Kraus (NPI 1538303961) is a Medicare-billing provider whose primary specialty is Pathology in Pittsburgh, PA.

Where does James Kraus practice?

James Kraus practices in Pittsburgh, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1538303961.

How much does Medicare pay James Kraus?

James Kraus (NPI 1538303961) received approximately $26K in total Medicare Part B payments, serving 293 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1538303961

James KrausM.D.

PathologyPittsburgh, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

395

Unique beneficiaries

—

Total services

734

Distinct HCPCS

Medicare payment

$24K

Peer benchmark

Total Medicare services vs. 593 Pathology providers in PA — below median (cohort median 1,465).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

93.1

Quality

79.8

Cost

0.0

Improvement activities

40.0

Promoting interop.

88.8

Payment adjustment

0.76%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Kraus's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 40 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GLEN COVE HOSPITAL	292	689
Sanjiv Jhaveri Cardiology · Glen Cove, NY	98	182
David Milkes Gastroenterology · Great Neck, NY	84	279
Michael Grieco General Surgery · Glen Cove, NY	78	304
Northwell Health Laboratories Clinical Laboratory · New Hyde Park, NY	76	230
Edward Skwiersky Cardiology · Glen Cove, NY	61	111
Juiching Hsu Anesthesiology · Glen Cove, NY	56	69
Katrina Sabater Anesthesiology · Glen Cove, NY	53	59
Michelle Multz Diagnostic Radiology · East Patchogue, NY	49	84
Thomas Mannino Diagnostic Radiology · Glen Cove, NY	48	85
John Reyes Internal Medicine · Oyster Bay, NY	43	107
James Albanese Cardiology · Glen Cove, NY	38	70

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history