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    OpenPayerNPI Medicare & MedicaidAndris Zauls
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    Andris Zauls — Billing Profile & Reimbursement Data

    NPI 1437374121 · Brockton, MA · Radiation Oncology Physician

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    Andris Zauls is a radiation oncology physician provider located in Brockton, Massachusetts. This profile covers 29 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
    OrganizationAndris Zauls
    Address818 Oak Street
    CityBrockton
    StateMA
    ZIP02301
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedApril 16, 2007

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    ANDRIS ZAULS is a radiation oncology physician in Brockton, MA with a long Medicare enrollment history (NPI enumerated 2007-04-16, ~19 years ago), indicating sustained participation in Medicare billing and an established clinical practice footprint in the community. The provider’s lifetime Medicare revenue is $1.5M and there is no Medicaid billing on file, so this profile reflects an effectively single-payer (Medicare-focused) billing pattern rather than a dual-payer mix.

    Revenue concentration is high within a narrow set of procedures: the precomputed top 3 Medicare codes by revenue account for 49.7% of this provider’s total Medicare revenue, signaling that a few high-value radiation therapy codes drive nearly half of the practice’s Medicare income. In particular, G6015 alone represents $468.7K (31.8% of Medicare revenue), making it the primary revenue generator.

    The code mix and descriptions show an operation centered on advanced external beam radiation services and planning: substantial use of G6015 (intensity modulated treatment delivery), 77301 (IMRT planning/delivery), and 77373 (stereotactic body radiation therapy single-fraction) indicates a service line focused on IMRT and stereotactic treatments rather than purely diagnostic or routine office care. The presence of detailed planning and dosimetry codes (e.g., 77300, 77295, 77290) further supports a mature radiation therapy program that performs both planning and high-complexity delivery.

    Competitive standing by code shows a mixed profile: for G6015 the provider ranks #170 of 1429 (88th percentile), which is typical volume nationally for that code but still above median peers; 77301 ranks #200 of 3815 (95th percentile), indicating notably above-typical national volume for IMRT planning/delivery and a strong specialization in that service. Conversely, several common technical service codes (e.g., 77014 at the 65th percentile) are in the typical range, suggesting above-average specialization in certain advanced therapy services rather than uniform dominance across all radiation-related CPTs.

    There are multiple codes where this provider is an above-typical or extreme outlier in national volume, highlighting operational emphasis and capacity: 77300 (dosimetry) ranks in the 99th percentile and is labeled an extreme outlier, 77427 and G6013 are both in the 98th percentile and described as notably above typical national volume, and G6002 (stereoscopic x-ray guidance) is also at the 98th percentile. These high-percentile placements point to concentrated expertise and high throughput in technical planning/delivery components of radiotherapy.

    The clinical encounter and E/M footprint is relatively small compared with technical radiation services: E/M codes 99214, 99205, and 99215 together account for modest portions of revenue ($33.1K, $25.5K, and $4.1K respectively) and their national ranks vary (99205 at the 98th percentile is an outlier, while 99214 is around the 83rd percentile and 99215 sits lower at the 39th percentile). This suggests the practice bills some high-complexity new-patient evaluations but that its primary revenue driver remains procedure-based radiation delivery and planning.

    Payer implications: because there is no Medicaid billing on file, payers and analysts should view this provider as reliant on Medicare volume and reimbursement patterns; any payor negotiations or network decisions that affect Medicare-equivalent rates or prior authorization for IMRT and stereotactic services could materially affect this practice’s revenue. Resource allocation and utilization reviews should therefore focus on IMRT/stereotactic planning and delivery codes.

    Operational capacity is implied by high claim counts on technical service codes: examples include 1.5K claims for G6015, 1.4K claims for G6002, and 1.1K claims for 77300, supporting the reading that the practice delivers high-frequency treatment sessions and imaging-guidance services. These volumes, combined with the revenue concentration noted above, point to a throughput-oriented radiation therapy operation rather than a primarily consultative or low-volume specialty practice.

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,510$310$468.7K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…100$1,420$146.4K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…140$860$116.4K
    G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev490$200$98.9K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…570$160$90.9K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev360$200$73.3K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy1,390$50$68.2K
    77014N/A650$100$63.7K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…1,150$50$58.4K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…110$370$41.9K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015210520$300$279.4K
    G6013210330$200$71.3K
    7737321060$850$64.5K
    G6012210200$200$48.2K
    774273160130$160$27.5K
    7701446150310$40$22.2K
    77301712030$460$19.2K
    992142,09915,410110$80$15.6K
    77336210100$70$13.5K
    77435124020$530$12.8K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Raphael KievalMARheumatology Physician$1.6M$0
    Frantz GibbsRIEmergency Medicine Physician$31.4K$849.2K
    Kyu KimMARheumatology Physician$628.4K$0
    Nazli ErbayMADiagnostic Radiology Physician$106.9K$290.7K
    Walid SaberRIInterventional Cardiology Physician$323.2K$58K
    Eghosa IdumwonyiMAHospitalist Physician$348.4K$0
    Brian DaltonMAInternal Medicine Physician$341.8K$0
    Mark KulbaskiMAVascular Surgery Physician$341.8K$0
    Nicholas TsanotelisMAInternal Medicine Physician$325K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$309.8M
    Old Colony Elderly Services, Inc.MACase Management Agency$0$137.5M
    South Bay Mental Health Center, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$112M
    Massachusetts Mentor LLCMAFoster Care Agency$0$95.6M
    Brockton Neighborhood Health CenterMAFederally Qualified Health Center (FQHC)$0$91.2M
    Sb Transitional Sub, LLCMAMental Health Clinic/Center (Including Community Mental Health Center)$0$84.8M
    Steward Good Samaritan Medical Center, Inc.MAGeneral Acute Care Hospital$0$64.2M
    Pediatric Services Of America, LLCMANursing Care Agency$0$47.8M
    South Bay Mental Health Center, Inc.MAAdolescent and Children Mental Health Clinic/Center$0$43.2M
    Sb Transitional Sub, LLCMAEarly Intervention Provider Agency$0$35.9M

    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. Massachusetts Distribution
    Andris Zauls — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts