Physician

William M Kraklow, MD

According to 2025 Medicare claims, William Kraklow, MD (NPI: 1184616187) practices nephrology in the Racine-Mount Pleasant, WI market, with the plurality of this provider's patient population coming from Racine, WI. This provider's primary affiliated billing organization is MIDWEST NEPHROLOGY ASSOCIATES, S.C. (NPI: 1659304467; TIN: 391707770) and primary practice location at 53142-7884. Kraklow is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), Ascension Care Management Health Partners Wisconsin, LLC (ACO ID: A5329), and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Kraklow's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 705 traditional Medicare patients, billed 2,794 HCPCS/CPT codes, and received $252,044 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 1,646 prescription claims across 413 beneficiaries totaling $269,198 in drug costs, led by Velphoro (Sucroferric Oxyhydroxide). 2016 DME data shows 14 claims. Open Payments data shows 1 records totaling $25. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $421,275 to $269,198. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$205K$411K2015 Medicare payment: $376,571 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $319,712 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $338,168 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $400,304 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $405,486 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $410,514 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $380,096 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $281,985 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $238,474 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $252,044 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,1244,533$376,571
20169703,871$319,712
20179933,629$338,168
20181,0584,038$400,304
20191,0784,379$405,486
20209994,101$410,514
20219913,581$380,096
20228182,872$281,985
20236892,399$238,474
20247052,794$252,044

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$348K$696K2015 Drug cost: $421,275 (USD; Tot_Drug_Cst)2016 Drug cost: $695,706 (USD; Tot_Drug_Cst)2017 Drug cost: $510,019 (USD; Tot_Drug_Cst)2018 Drug cost: $249,970 (USD; Tot_Drug_Cst)2019 Drug cost: $203,829 (USD; Tot_Drug_Cst)2020 Drug cost: $186,550 (USD; Tot_Drug_Cst)2021 Drug cost: $266,709 (USD; Tot_Drug_Cst)2022 Drug cost: $250,982 (USD; Tot_Drug_Cst)2023 Drug cost: $289,474 (USD; Tot_Drug_Cst)2024 Drug cost: $269,198 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153572,466$421,275
20163402,632$695,706
20173412,209$510,019
20183311,709$249,970
20192991,507$203,829
20202941,272$186,550
20212771,288$266,709
20222761,099$250,982
20233201,239$289,474
20244131,646$269,198

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.9K$3.9K2015 Medicare payment: $3,853 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,333 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R43$3,853
2016N/R14$1,333
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes137158$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more253361$84
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes229622$84
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more129135$55
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's313392$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VelphoroSucroferric Oxyhydroxide411,230$96,924
JardianceEmpagliflozin352,490$47,956
AuryxiaFerric Citrate19977$36,695
LokelmaSodium Zirconium Cyclosilicate15718$16,923
Sevelamer CarbonateSevelamer Carbonate1507,047$16,887

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$25AKEBIA THERAPEUTICS INC
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

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FAQ

What Medicare data is available for William M. Kraklow, MD?

Tedicare shows public-source Medicare data for William M. Kraklow, MD (NPI 1184616187), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does William M. Kraklow, MD have ACO affiliation data?

William M. Kraklow, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033), Ascension Care Management Health Partners Wisconsin, LLC (MSSP, ACO ID A5329), and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to William M. Kraklow, MD?

William M. Kraklow, MD is linked to MIDWEST NEPHROLOGY ASSOCIATES, S.C. (billing NPI 1659304467) in the available physician profile data.

Does William M. Kraklow, MD have Open Payments data?

William M. Kraklow, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.