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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Schulte
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    Mark Schulte — Billing Profile & Reimbursement Data

    NPI 1093973471 · West Seneca, NY · Rheumatology Physician

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    Mark Schulte is a rheumatology physician provider located in West Seneca, New York. This profile covers 17 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
    OrganizationMark Schulte
    Address3615 Seneca St
    CityWest Seneca
    StateNY
    ZIP14224
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 2, 2008

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

    Payer SourceTotal Paid
    Medicare$715.2K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)11,280$30$383.4K
    J1745Injection, infliximab, excludes biosimilar, 10 mg5,600$30$145.6K
    J1602Injection, golimumab, 1 mg, for intravenous use8,850$10$79.7K
    J0897Injection, denosumab, 1 mg2,220$20$40K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…320$100$32K
    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…120$90$11.7K
    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…150$60$8.9K
    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…20$160$3.3K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…150$20$3.3K
    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.30$50$1.6K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01298406,830$30$268.9K
    J1602203011,750$10$133.4K
    J174514502,980$30$124.1K
    J08972924902,820$20$84.4K
    9921412,70530,45090$100$19K
    9641346380110$110$18.1K
    9921310,19331,44080$70$12.1K
    9636546861080$60$7.7K
    206101,1841,87060$60$7K
    992052,4914,26030$180$6.4K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Erie County South East Corp VNYCommunity/Behavioral Health Agency$0$94.3M
    Center For Ambulatory Surgery LLCNYAmbulatory Surgical Clinic/Center$654.2K$214K
    Upstate Pharmacy LtdNYCommunity/Retail Pharmacy$249.9K$99.2K
    Peterkin Lee-kwenNYNeurology Physician$130.7K$27.6K
    Su ZhanNYPhysical Medicine & Rehabilitation Physician$121.4K$18.7K
    P Jeffrey LewisNYNeurological Surgery Physician$102.3K$12.8K
    Joyce LinNYVascular Surgery Physician$67.8K$0
    Richard BloombergNYSurgery Physician$30.3K$0
    Michael SzalachNYFoot Surgery Podiatrist$25.3K$4.8K

    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
    Mark Schulte — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York