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    OpenPayerNPI Medicare & MedicaidAnthony Kaczmarek
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    Anthony Kaczmarek — Billing Profile & Reimbursement Data

    NPI 1306803754 · Rolla, MO · Specialist

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    Anthony Kaczmarek is a specialist provider located in Rolla, Missouri. This profile covers 16 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
    OrganizationAnthony Kaczmarek
    Address1428 East 72highway
    CityRolla
    StateMO
    ZIP65401
    TaxonomySpecialist
    NPI EnumeratedApril 28, 2006

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

    Payer SourceTotal Paid
    Medicare$191.1K
    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.

    16 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…1,500$80$118.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg190$140$26K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$160$16.5K
    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…120$110$12.2K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…20$230$5.5K
    51703The bladder catheter CPT codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…40$100$4.1K
    55700Code deleted December 31, 2025.10$160$1.8K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…10$120$1.5K
    96402In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.60$20$1.4K
    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…10$100$1.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92171370100$130$17.7K
    99214308,960100$80$13.9K
    520004917080$150$12.8K
    52287344020$270$10.1K
    992152,0662,30030$110$6.8K
    5228121020$280$5.4K
    55700798020$200$5.3K
    992042644,36030$100$4.8K
    5170331030$90$2.6K
    76872728020$70$2.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phelps County Regional Medical CenterMOGeneral Acute Care Hospital$0$38.3M
    Mercy Clinic Springfield CommunitiesMOFamily Medicine Physician$0$15.1M
    Pcrmc Medical Group, IncMOClinic/Center$0$11.4M
    Sasan MoshirzadehMONeurology Physician$396K$0
    Timothy MartinMOCardiovascular Disease Physician$184.2K$380
    Michael PotterMOOrthopaedic Surgery Physician$178.2K$720
    Christopher SpencerMORadiation Oncology Physician$174.8K$0
    Arslan ShaukatTNInterventional Cardiology Physician$157.5K$0
    Alan HeinckerMOOrthopaedic Surgery Physician$137K$0
    Syed Zahoor Ul MueenMONephrology Physician$128.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of MissouriMODevelopmentally Disabled Services Day Training Agency$0$46.9M
    Choices For People Center For Citizens With Disabilities IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$44.2M
    Tnmo Healthcare, LLCMOHome Health Agency$0$38.7M
    Mi SerenityMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$38.7M
    Future Care, IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.2M
    Addus Health Care IncMOIn Home Supportive Care Agency$0$15.8M
    Tri-county Center For Independent LivingMOVoluntary or Charitable Agency$0$13.2M
    Tnmo Healthcare, LLCMOIn Home Supportive Care Agency$0$10.8M
    Addus Health Care IncMOChore Provider$0$6.6M
    Tnmo Healthcare, LLCMOHome Health Agency$0$6.5M

    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. Missouri Distribution
    Anthony Kaczmarek — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri