Providers
All 11 in TX
PETER B CRAIG, MD
NPI 1295752715, individual, Austin, TX, Emergency Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since February 20, 2019.
- Medicaid still paid claims in 8 later months, $24,656 in total.
score 94 of 100, rank 228, $25K at stake
Public list actions
Medicare revocation effective February 20, 2019, barred from re-enrolling until April 20, 2033
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Emergency Medicine, TX
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Feb 20, 2019 | Apr 20, 2033 | 8 | Nov 2022 | Jul 2023 | $25K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PETER B CRAIG, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 17, 2006, last updated November 17, 2023 |
| Practice location | 1900 BARTON SPRINGS RD UNIT 5030, Austin, TX 78704-1471, 970-708-4525 |
| Mailing address | PO BOX 24691, Fort Worth, TX 76124-1691 |
| Specialties | Emergency Medicine (207P00000X, primary, license L7698 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | $17K | 69% | $73 | $86 (top 5% from $224) | 35th percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $5K | 20% | $41 | $60 (top 5% from $193) | too few months to rank | |
| 99285 | Emergency department visit with high level of medical decision making | $2K | 6% | $39 | $100 (top 5% from $264) | too few months to rank | |
| 99281 | Emergency department visit for problem that may not require health care professional | $942 | 4% | $79 | $62 (top 5% from $219) | too few months to rank | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $93 | 0% | $6.19 | $5.69 (top 5% from $25) | too few months to rank | |
| 81001 | Manual urinalysis test with examination using microscope, automated | $50 | 0% | $2.80 | $2.14 (top 5% from $19) | too few months to rank |
In this area
11 providers in Travis County, TX carry an indicator in the public record, with $11.4M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 5.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MGA HEALTHCARE TEXAS, LLC Austin, TX, ranked 896 | $9.8M |
|
| 3 | STATE OF TEXAS VETERANS LAND BOARD Tyler, TX, ranked 2778 | $0 |
|
| 3 | CAPITOL HOME HEALTH, INC. Austin, TX, ranked 5855 | $0 |
|
| 3 | RHI MAGNOLIA OF CENTRAL TEXAS, LLC Pflugerville, TX, ranked 6490 | $0 |
|
| 3 | THREE OAKS HOSPICE AUSTIN LLC Austin, TX, ranked 6865 | $0 |
|
| 4 | THOMAS YANGER Austin, TX, ranked 9520 | $145K |
|
| 4 | JOSE GARCIA Austin, TX, ranked 9716 | $17K |
|
| 5 | SHIVA LAM Austin, TX, ranked 10098 | $1.1M |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.