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    OpenPayerNPI Medicare & MedicaidDaniel Kreutz
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    Daniel Kreutz — Billing Profile & Reimbursement Data

    NPI 1275789877 · Gilbert, AZ · Rheumatology Physician

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    Daniel Kreutz is a rheumatology physician provider located in Gilbert, Arizona. This profile covers 55 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
    OrganizationDaniel Kreutz
    Address3645 S Rome St Ste 201
    CityGilbert
    StateAZ
    ZIP85297
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 14, 2008

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused rheumatology practice: lifetime Medicare revenue is $2.8M and Medicaid revenue is none (no Medicaid billing on file), indicating an essentially single‑payer footprint in available claims data. The NPI was enumerated 2008-08-14 (~18 years ago), consistent with an established solo or small-group clinical presence rather than a newly opened practice.

    Revenue concentration is high and biologics-driven: the precomputed top 3 Medicare codes by revenue account for 48.1% of the provider's total Medicare revenue, with J0129 ($538.8K, 19.9%), J1602 ($414.1K, 15.3%), and J0897 ($351K, 13.0%) comprising nearly half of all Medicare receipts. These three codes are all injectable biologic or specialty drug administrations, signaling that in-office or infusion-administered medications are the core revenue drivers.

    Service-line implications from the CPT/HCPCS mix point to an infusion/biologics administration model combined with outpatient rheumatology care: high-volume biologic drug codes such as J0129, J1602, J0897, J1745 and biosimilar Q5104 appear alongside E/M codes (99214, 99215, 99205) and chemotherapy/infusion administration codes (96413, 96401, 96415). This combination suggests the practice provides both procedural infusion services and longitudinal rheumatologic management requiring routine lab monitoring.

    Competitive standing for the top biologics is mixed: J1602 ranks #72 of 1041 providers nationally (93th percentile) and J0129 ranks #208 of 1221 providers nationally (83th percentile), indicating above‑median participation but not dominance for these drugs; by contrast J0897 ranks #305 of 10057 providers nationally (97th percentile) and is described as notably above typical national volume, which implies unusually high denosumab administration relative to most peers.

    Several utilization signals are statistical outliers for office and infusion activity: 99214 ranks #2298 of 479517 providers nationally (100th percentile; extreme outlier, far above typical national volume), 96413 ranks #118 of 7514 providers nationally (98th percentile; extreme outlier, far above typical national volume), and 99205 ranks #444 of 66257 providers nationally (99th percentile; extreme outlier, far above typical national volume). These outlier E/M and infusion administration rankings reinforce that this provider bills both frequent, higher‑level office visits and high-volume infusion or chemo‑administration sessions compared with national peers.

    The presence and ranking of infliximab and biosimilar codes (J1745 $238.3K, Q5104 $127.4K) alongside rituximab (J9312 $301.8K) and certolizumab (J0717 $143.2K) indicate a therapeutically diverse biologics portfolio—both branded and biosimilar infliximab appear in the top codes—suggesting the practice treats a range of autoimmune and inflammatory conditions and may switch between branded and biosimilar products depending on clinical or payer factors.

    Routine monitoring and ancillary services support the infusion model: frequent lab and specimen codes such as 80053 (1.4K claims, $13.8K), 36415 (1.6K claims, $12.5K), 85025 (1.3K claims, $10K), and 86140 (821 claims, $4.1K) appear at high national percentiles, reflecting consistent pre‑infusion and disease‑management testing typical for rheumatology patients on biologics. These lab patterns are consistent with ongoing disease monitoring and infusion safety workflows.

    From a payer strategy and contracting perspective, the lack of any Medicaid billing (none below) means this provider’s negotiated rates and utilization patterns will be visible only to Medicare and commercial payers in available claims; payers evaluating network adequacy or specialty infusion capacity should treat this entity as Medicare‑centric with substantial in-office infusion throughput driven by a small set of high-revenue biologic codes.

    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.

    55 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)16,330$30$538.8K
    J1602Injection, golimumab, 1 mg, for intravenous use41,410$10$414.1K
    J0897Injection, denosumab, 1 mg19,500$20$351K
    J9312Injection, rituximab, 10 mg4,790$60$301.8K
    J1745Injection, infliximab, excludes biosimilar, 10 mg9,530$30$238.3K
    J3111Injection, romosozumab-aqqg, 1 mg27,510$10$192.6K
    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…1,720$90$153.3K
    J0717Injection, certolizumab pegol, 1 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)35,800$1$143.2K
    Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg4,390$30$127.4K
    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…900$100$89.4K

    Showing 1–10 of 55

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    55 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012993014,700$30$494.5K
    J160273024,040$10$316.2K
    J0717112036,100$1$246.6K
    J93122203,250$60$212.6K
    J3111114019,530$10$178.8K
    J0897202602,940$20$115.6K
    Q51042103,720$30$108.7K
    J17452402,980$30$103.9K
    86235420130$20$59.5K
    839706813080$40$33K

    Showing 1–10 of 55

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arizona Arthritis & Rheumatology Associates P CAZRheumatology Physician$0$11.2M
    Nehad SolomanAZRheumatology Physician$5.1M$0
    Alexander HuAZInternal Medicine Physician$3.8M$0
    Areena SwarupAZRheumatology Physician$3.6M$0
    Saima ChohanAZRheumatology Physician$3.5M$0
    Nikila KumarAZRheumatology Physician$3M$0
    John TesserAZRheumatology Physician$3M$0
    Mona AminAZRheumatology Physician$2.7M$0
    Joonhee LimAZRheumatology Physician$2.3M$0
    Andrew SharobeemAZRheumatology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Warner Park Surgery Center LLCAZAmbulatory Surgical Clinic/Center$964.6K$694.3K
    Zaki LababidiAZCardiovascular Disease Physician$1.3M$0
    Naveen KumarAZOtolaryngology/Facial Plastic Surgery Physician$1.1M$0
    Surgcenter Chandler, LLCAZAmbulatory Surgical Clinic/Center$1.1M$0
    Ortho Arizona Surgery Center Gilbert, LLCAZAmbulatory Surgical Clinic/Center$834.1K$0
    Ocotillo Surgery Center LLCAZAmbulatory Surgical Clinic/Center$606.2K$222.1K
    Khaled AlbashaAZCardiovascular Disease Physician$608.2K$0
    Daniel CondieAZDermatology Physician$552.8K$0
    Devendra WadwekarAZEndocrinology, Diabetes & Metabolism Physician$528.7K$0
    Ahdev KuppusamyAZInterventional Pain Medicine Physician$374.3K$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. Arizona Distribution
    Daniel Kreutz — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona