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    OpenPayerNPI Medicare & MedicaidAndrew Kummer
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    Andrew Kummer — Billing Profile & Reimbursement Data

    NPI 1205098464 · Saint Paul, MN · Nephrology Physician

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    Andrew Kummer is a nephrology physician provider located in Saint Paul, Minnesota. This profile covers 11 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
    OrganizationAndrew Kummer
    Address205 Wabasha St S
    CitySaint Paul
    StateMN
    ZIP55107
    TaxonomyNephrology Physician
    NPI EnumeratedJune 30, 2008

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

    Payer SourceTotal Paid
    Medicare$49.3K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…100$150$14.7K
    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…100$90$8.7K
    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…60$120$7.3K
    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…70$90$6.3K
    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…30$150$4.5K
    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…30$140$4.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.160$10$1.3K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…20$50$1K
    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…20$60$920
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.90$1$180

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90962106040$150$9K
    992338672,57060$90$8.4K
    992144,68210,10070$80$8.1K
    992159934,06030$120$5.9K
    992323,4773,64060$60$5.2K
    992231,0042,36030$130$5K
    992053921,35020$150$4.1K
    9093511913050$50$3K
    364159033,48080$10$1.5K
    810013101,12020$1$180

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bethel AverbeckMNInternal Medicine Physician$1.2M$0
    Thomas StormontMNUrology Physician$128K$0
    Christele Behalal-bockVARheumatology Physician$82.2K$0
    Dan KrakoraWIDermatology Physician$73.4K$0
    Eric ChenMNNephrology Physician$71.5K$0
    Douglas OlsonMNAnatomic Pathology & Clinical Pathology Physician$69.2K$0
    Gregory WeberMNGastroenterology Physician$67.1K$0
    Katie MoriartyMNAdvanced Heart Failure and Transplant Cardiology Physician$66.2K$0
    Kendra RobidaMNNurse Practitioner$65.9K$0
    Joel BarbatoMNVascular Surgery Physician$60.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    GuildMNCommunity/Behavioral Health Agency$0$44.6M
    Tapestry Treatment Center LLCMNSubstance Abuse Rehabilitation Facility$0$18.6M
    West Side Community Health Services, IncMNFederally Qualified Health Center (FQHC)$0$17.3M
    Midtling Oral & Maxillofacial Surgery, PAMNOral and Maxillofacial Surgery Clinic/Center$0$16M
    Cerenity Senior CareMNSkilled Nursing Facility$0$11.2M
    Group Health, Inc.MNPediatric Dentistry$0$5.6M
    Chokchai ChareandeeMNNephrology Physician$100.6K$0
    Islam KhanMNNephrology Physician$67.5K$0
    Nadar AliMNFamily Medicine Physician$35.1K$0
    Leslie McguireMNCertified Registered Nurse Anesthetist$31.6K$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. Minnesota Distribution
    Andrew Kummer — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota