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    OpenPayerNPI Medicare & MedicaidCharles Schultz
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    Charles Schultz — Billing Profile & Reimbursement Data

    NPI 1356880868 · Manitowoc, WI · Anatomic Pathology & Clinical Pathology Physician

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    Charles Schultz is a anatomic pathology & clinical pathology physician provider located in Manitowoc, Wisconsin. This profile covers 7 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
    OrganizationCharles Schultz
    Address801 York St
    CityManitowoc
    StateWI
    ZIP54220
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedFebruary 16, 2017

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider’s billed services are concentrated in surgical pathology and immunohistochemistry: the top revenue drivers are 88305 (surgical pathology level IV), 88342 (initial single antibody stain interpretation), and 88341 (additional antibody stain interpretation), which together account for the majority of professional pathology work reflected in the claims data. The code descriptions for 88305/88342/88341 indicate an operation that processes large volumes of surgical specimens and performs significant slide-based diagnostic interpretation and IHC testing on-site or in a closely integrated lab workflow.

    Medicare revenue is the sole payer source on file — Total Medicare revenue is $1.1M while there is no Medicaid billing on file — so the provider is effectively single-payer (Medicare) in this dataset. That concentration means the provider’s reimbursement exposure and business metrics in this record are dominated by Medicare fee-for-service dynamics rather than mixed payer panels.

    Revenue concentration is extreme: the precomputed top-3 metric shows the top 3 Medicare codes by revenue account for 95.0% of this provider’s total Medicare revenue, with 88305 alone contributing $920.7K (84.5% of total Medicare revenue). The remaining top-two codes are 88342 at $81.3K (7.5%) and 88341 at $32.3K (3.0%), underscoring a narrow set of high-value services driving nearly all reported revenue.

    On volume and scale, 88305 shows very high throughput with 18.1K claims at an average paid per claim of $51, which aligns with the $920.7K revenue reported for that code. The high claim count for a complex pathology code suggests substantial specimen processing and reporting capacity rather than a low-volume subspecialty consult practice.

    Competitive standing by national rank indicates the provider is an outsized participant for key codes: 88305 ranks #97 of 14,580 nationally (99th percentile; extreme outlier, far above typical national volume for this code), and 88342 ranks #247 of 11,370 (98th percentile; notably above typical national volume). In contrast, 88341 ranks #1,603 of 10,274 (84th percentile; typical, unremarkable volume), indicating dominance in some high-impact services but more typical participation in certain IHC follow-ups.

    Secondary pathology services show mixed presence: 88304 appears with $16.1K (1.5% of Medicare revenue) and ranks #116 of 8,796 (99th percentile; notably above typical national volume), suggesting above-average volume for level III examinations despite its smaller revenue share. Special stains and immunofluorescence codes such as 88312 ($28.2K, 2.6%) and 88350 ($7.8K, 0.7%) are present at levels described as typical/unremarkable, while 88346 and 88350 percentiles (32th and 28th) indicate limited relative volume for some specialized IF procedures.

    Tenure in federal enrollment is established: the NPI was enumerated on 2017-02-16 (~9 years ago), indicating the provider has been present in Medicare billing data for multiple years, which supports interpreting current volume as the result of an established operational practice rather than a short-term outburst of billings.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…18,050$50$920.7K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…1,130$70$81.3K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…510$60$32.3K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…340$80$28.2K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…540$30$16.1K
    88350The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes…90$90$7.8K
    88346The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample.20$110$2.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883053300460$40$44.8K
    88350920110$50$10.4K
    8834126240190$30$7.4K
    88342627090$40$6.9K
    883121215040$40$4.5K
    8834682020$70$3.1K
    88304619040$20$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marguerite GermainSCDermatology Physician$1.8M$0
    Kelli HutchensWIDermatopathology (Pathology) Physician$1.7M$23.6K
    Forefront Dermatology, S.c.ALDermatology Physician$0$1.7M
    Francessca BrettschneiderFLDermatopathology (Pathology) Physician$1.6M$0
    Forefront Dermatology, S.c.WIDermatopathology Physician$0$1.6M
    Luke HyderFLDermatology Physician$1.5M$0
    Douglas HansenWIAnatomic Pathology & Clinical Pathology Physician$1.4M$2.9K
    Craig AbbottOKDermatopathology Physician$1.3M$0
    Ling XiaWIDermatopathology Physician$1.2M$41K
    John PerrottoFLDermatology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Manitowoc Co Human Services DeptWICommunity/Behavioral Health Agency$0$18.8M
    Lakeshore Community Health Care, IncWIFederally Qualified Health Center (FQHC)$0$9.2M
    Holy Family Memorial IncWIGeneral Acute Care Hospital$0$5M
    Core Treatment Services, Inc.WICommunity/Behavioral Health Agency$0$4.3M
    Manitowoc Public School DistrictWILocal Education Agency (LEA)$0$2.4M
    Clint RauWIPediatric Dentistry$0$2.2M
    Homecare Health Services IncWIHome Health Agency$0$1.8M
    City Of ManitowocWILand Ambulance$417.9K$1M
    Bruce LeckeyWIDermatopathology Physician$773.5K$0
    Willmar Patino CadavidWIAnatomic Pathology & Clinical Pathology Physician$693.5K$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. Wisconsin Distribution
    Charles Schultz — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin