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    OpenPayerNPI Medicare & MedicaidRichard Shusterman
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    Richard Shusterman — Billing Profile & Reimbursement Data

    NPI 1043250202 · Yardley, PA · Pulmonary Disease Physician

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    Richard Shusterman is a pulmonary disease physician provider located in Yardley, Pennsylvania. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Shusterman
    Address1000 Floral Vale Blvd
    CityYardley
    StatePA
    ZIP19067
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJune 7, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$171K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…990$100$95.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…240$70$15.9K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.310$50$14.6K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…320$40$13.7K
    95800A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.80$120$9.6K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…390$20$8.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…60$130$7.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…280$10$3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$150$1.6K
    94618The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.20$30$480

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921428923,230100$80$14.5K
    992156,9737,17040$120$8.6K
    95800176030$80$7.7K
    992133,28022,37070$60$7.7K
    992042,39310,29030$110$5K
    947291145060$20$1.7K
    940102037040$20$1.4K
    95012224030$20$1.3K
    94726735050$20$1.2K
    9461817723030$20$1.1K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Richard Shusterman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Temple Faculty Practice Plan, IncPAEmergency Medicine Physician$0$18.4M
    Temple Faculty Practice Plan, IncPADiagnostic Radiology Physician$0$18M
    James SpearsPAHematology & Oncology Physician$2.1M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Sarah GoodyearPAHematology & Oncology Physician$1.6M$0
    Marc ChernoffPAHematology & Oncology Physician$1.5M$0
    Mitchell AldenPAHematology & Oncology Physician$1.5M$0
    Jason DamskerPAHematology & Oncology Physician$1.3M$0
    Daniel LebovicPAHematology & Oncology Physician$1.3M$0

    Nearby Providers

    Other providers in the same ZIP code as Richard Shusterman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Goldstar Rehabilitation Inc.PASpeech-Language Pathologist$0$19.1M
    Milestone Behavioral Health LLCPACommunity/Behavioral Health Agency$0$16.6M
    Farhan TahirPARheumatology Physician$1M$0
    Carmen CampanelliPAMOHS-Micrographic Surgery Physician$808.7K$0
    Christopher SchulzePAClinical Cardiac Electrophysiology Physician$625.3K$0
    Joel BermanPADiagnostic Radiology Physician$614.9K$0
    Adel HaquePADermatology Physician$503.3K$0
    Thomas MaclennanPADiagnostic Radiology Physician$469.2K$0
    Adam BlechmanPAMOHS-Micrographic Surgery Physician$450.6K$0
    Paul GrenaPACardiovascular Disease Physician$433.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Richard Shusterman — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania