Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Stoltz
    Ask Trek AI about this page

    Robert Stoltz — Billing Profile & Reimbursement Data

    NPI 1275584047 · Marietta, GA · Specialist

    Customize your policy alerts

    Sign up for Robert Stoltz — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Robert Stoltz is a specialist provider located in Marietta, Georgia. 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Stoltz
    Address114 Cherry St Ne
    CityMarietta
    StateGA
    ZIP30060
    TaxonomySpecialist
    NPI EnumeratedMay 15, 2006

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider is a retina-focused specialist: the top Medicare revenue drivers are intravitreal pharmacologic therapies (J2777, J0178, J2778) and procedure codes related to in-office injections and retinal imaging such as 67028 and 92134, which matches a clinical model centered on diagnosis and repeat intravitreal treatment rather than broad primary care or surgery. The mix of high-volume anti-VEGF/anti‑VEGF‑class codes and imaging/diagnostic codes indicates an ambulatory retina practice that delivers recurring injection-based care with supporting diagnostic services on site.

    Medicare revenue is concentrated in a small number of drug codes: J2777 ($1.1M, 41.0% of this provider's total Medicare revenue), J0178 ($1M, 38.2%), and J2778 ($166.5K, 6.3%) together account for 85.5% of this provider's Medicare revenue. This degree of concentration signals dependency on anti‑VEGF and related intravitreal drug administration as the primary revenue stream.

    Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $2.6M and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s billed volume or revenue. For payer- or population-focused contracting, this provider should be treated as a Medicare-centric practice rather than a dual‑payer operation.

    Competitive standing on the top drug codes is modest to typical nationally: J2777 is ranked #188 of 2039 providers nationally (91th percentile; typical, unremarkable volume), J0178 is ranked #847 of 3204 (74th percentile; typical, unremarkable volume), and J2778 is ranked #458 of 1208 (62th percentile; typical, unremarkable volume). These ranks indicate the provider is an active but not dominant national participant in administration of these specific drugs.

    In contrast, several ancillary and evaluation codes show above‑typical throughput locally: 92134 is ranked #845 of 26868 providers nationally (97th percentile; notably above typical national volume) and 92014 is ranked #2220 of 35415 providers nationally (94th percentile; notably above typical national volume). High relative volume in OCT imaging and comprehensive established exams suggests substantial patient flow for retinal disease management and efficient use of diagnostic capacity.

    There are targeted areas of lower relative activity that may reflect case mix or service choice: J7312 (dexamethasone implant) is ranked #462 of 492 providers nationally (5th percentile; typical, unremarkable volume), indicating this provider does not use that implant as a material revenue source compared with peers. Similarly, many general E/M codes (e.g., 99213, 99212) appear at typical or lower national ranks, reinforcing a treatment-focused rather than generalist outpatient practice profile.

    Tenure supports an established practice footprint: the provider’s NPI was enumerated on 2006-05-15 (~20 years ago), consistent with a long-standing clinical presence in Marietta, GA. That longevity, combined with the concentrated anti‑VEGF revenue mix and high imaging/exam throughput, suggests an experienced retinal clinic with steady Medicare demand over time.

    From a contracting and risk-management perspective, the business-line signal is clear: this practice’s financial performance hinges on intravitreal drug administration and repeat follow-up visits. Any payer engagement, network modeling, or utilization review should prioritize monitoring of J2777 and J0178 utilization patterns (which together represent the vast majority of Medicare revenue) and the high-volume diagnostic services that support that treatment pathway.

    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
    J2777Injection, faricimab‑svoa, 0.1 mg37,200$30$1.1M
    J0178Injection, aflibercept, 1 mg1,460$690$1M
    J2778Injection, ranibizumab, 0.1 mg930$180$166.5K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,460$100$144.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…870$90$79.8K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.2,230$30$71.2K
    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…170$120$20.7K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg120$150$17.6K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…230$70$15.9K
    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…160$70$11.5K

    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
    J01781870970$680$700.6K
    J277774014,100$30$524.3K
    J277816301,170$180$286.2K
    670281780720$90$71.9K
    J73121210220$160$37.6K
    9201444850130$80$19.7K
    9921413,54113,640120$80$17.8K
    920129338090$60$10.5K
    J90353070120$50$10.3K
    992134,03313,36080$60$9.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephanie VanderveldtGAOphthalmology Physician$4.1M$0
    Sri Krishna MukkamalaGAHospitalist Physician$3.4M$0
    Alexander BottiniGARetina Specialist (Ophthalmology) Physician$3M$0
    David Chin YeeGARetina Specialist (Ophthalmology) Physician$2.9M$0
    Gregory LeeGAOphthalmology Physician$2.9M$6.3K
    Hyung ChoGAOphthalmology Physician$2.5M$0
    Sean KohGAOphthalmology Physician$2.5M$0
    Atul SharmaGAOphthalmology Physician$2.2M$0
    Mark RivelleseGAOphthalmology Physician$2.1M$0
    Rahul KomatiILRetina Specialist (Ophthalmology) Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quantum Radiology, PCGADiagnostic Radiology Physician$0$4.3M
    Weijian ZhuGAAnatomic Pathology & Clinical Pathology Physician$2.6M$4.7K
    Marietta Eye Clinic, PAGAOphthalmologic Surgery Clinic/Center$2.5M$0
    Jeffrey WinterGAVascular Surgery Physician$2.4M$0
    Annal MelethGAOphthalmology Physician$2.2M$0
    Kennestone Hospital, Inc.GAGeneral Acute Care Hospital$0$1.9M
    Lakshmana KooragayalaGAOphthalmology Physician$1.8M$0
    Kevin ThomasGADermatopathology (Pathology) Physician$1.6M$0
    Mark ChastainGADermatology Physician$1.6M$0
    Marietta Advanced Surgery CenterGAAmbulatory Surgical Clinic/Center$1.3M$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. Georgia Distribution
    Robert Stoltz — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia