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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Kutler
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    Charles Kutler — Billing Profile & Reimbursement Data

    NPI 1063464519 · Kingston, NY · Infectious Disease Physician

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    Charles Kutler is a infectious disease physician provider located in Kingston, New York. This profile covers 35 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCharles Kutler
    Address360 Washington Avr
    CityKingston
    StateNY
    ZIP12401
    TaxonomyInfectious Disease Physician
    NPI EnumeratedMay 16, 2006

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

    Payer SourceTotal Paid
    Medicare$101.4K
    Medicaid$6.2K

    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.

    35 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…260$100$24.7K
    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…90$150$13.2K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.230$60$13.1K
    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…90$140$12.2K
    99205The provider sees a new 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 provider…40$180$6.5K
    99203The provider sees a new 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 provider…60$90$5.3K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$4.2K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…150$30$3.7K
    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…40$60$2.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.200$10$1.9K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,80430,45090$100$19K
    96413366380110$110$18.1K
    9921323,29331,44080$70$12.1K
    87631527020$140$10.4K
    992151,8188,28040$140$10.1K
    844431,1011,51090$20$7.9K
    906771,7802,48020$280$7.8K
    9636510061080$60$7.7K
    800537341,970120$10$6.9K
    992042,06814,17030$130$6.6K

    Showing 1–10 of 35

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…310$10$3.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$20$1.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…240$1$940
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$10$910
    3017FColorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or…30$0$0
    4004FThe provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…190$0$0
    G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given40$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications400$0$0
    G9905Patient not screened for tobacco use70$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9,97919,110360$70$321K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,5504,120130$30$26.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,4922,620100$50$25.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…5931,67040$90$19.1K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications7502,000210$1$90
    G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given14623090$1$30
    4004FThe provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…8725090$1$10
    3017FColorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or…235310100$1$1
    G9905Patient not screened for tobacco use174060$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ascension Medical Group-southeast Wisconsin IncWIInternal Medicine Physician$0$44.8M
    Ascension Ne Wisconsin, IncWIGeneral Acute Care Hospital$0$19.9M
    Aspirus Stevens Point Hospital & Clinics, Inc.WIGeneral Acute Care Hospital$0$15.6M
    Ector County Hospital DistrictTXGeneral Acute Care Hospital$0$14.5M
    Ascension Medical Group-fox Valley Wisconsin, IncWIMulti-Specialty Clinic/Center$0$13.4M
    Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.WIGeneral Acute Care Hospital$0$10.2M
    Ascension Ne Wisconsin, IncWIGeneral Acute Care Hospital$0$4.3M
    Ascension Calumet Hospital, IncWICritical Access Hospital$0$3.8M
    Mckenzie County Healthcare Systems IncNDCritical Access Hospital$0$1.2M
    Ze'ev WeitzNYRheumatology Physician$460.7K$15.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riccardo EspositoNYFamily Medicine Physician$187K$573.3K
    James LimNYDiagnostic Radiology Physician$670.7K$3.5K
    Hal BuchNYGastroenterology Physician$536.2K$0
    Govind ChaturvediNYOtolaryngology Physician$163.4K$218.9K
    James CanoyNYNeuroradiology Physician$367.1K$2.7K
    Marc TackNYInfectious Disease Physician$354.2K$10.7K
    Kimberly BickelNYAdult Health Nurse Practitioner$338.3K$16.8K
    Francesca HilmiNYFamily Medicine Physician$272.1K$51.8K
    Syed HassanNYFamily Medicine Physician$273.6K$3.1K
    Amber MitchellNYNeurology Physician$222.1K$54.1K

    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. New York Distribution
    Charles Kutler — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Charles Kutler — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York