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 & MedicaidCole Kreofsky
    Ask Trek AI about this page

    Cole Kreofsky — Billing Profile & Reimbursement Data

    NPI 1497021158 · Bismarck, ND · Radiation Oncology Physician

    Customize your policy alerts

    Sign up for Cole Kreofsky — 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.

    Cole Kreofsky is a radiation oncology physician provider located in Bismarck, North Dakota. This profile covers 31 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
    OrganizationCole Kreofsky
    Address500 N 8th St
    CityBismarck
    StateND
    ZIP58501
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMarch 28, 2012

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

    Payer SourceTotal Paid
    Medicare$959K
    Medicaid$0

    Key Findings

    Medicare revenue concentration is high: the top three Medicare codes (G6015, 77014, 77301) together account for 55.2% of this provider's total Medicare revenue, with G6015 contributing $323.2K (33.9%), 77014 contributing $112.5K (11.8%), and 77301 contributing $90.5K (9.5%). This indicates that a small set of advanced radiation-delivery and planning codes drives the majority of the $959K in Medicare revenue on file.

    The code mix is consistent with an advanced external-beam radiation oncology practice: G6015 (1.1K claims, $292 avg, $323.2K revenue) and 77301 (61 claims, $1484 avg, $90.5K revenue) point to heavy use of intensity-modulated radiotherapy (IMRT), while 77373 (102 claims, $814 avg, $83K revenue) and 77435/77427 indicate stereotactic body radiotherapy (SBRT) and course management capabilities. Significant billing for planning and physics services — e.g., 77295 (61 claims, $385 avg, $23.5K revenue) and 77338 (70 claims, $373 avg, $26.1K revenue) — supports an internal workflow that includes detailed 3D planning and MLC/IMRT device work.

    This provider is effectively a Medicare-only biller: total Medicare revenue is $959K and there is no Medicaid billing on file. That single-payer concentration means the provider’s near-term revenue exposure is tied primarily to Medicare reimbursement and utilization trends rather than a mixed payer portfolio.

    Competitive standing across national peers is generally modest to above-average but not extreme: G6015 ranks #316 of 1429 (78th percentile; typical, unremarkable volume for this code) and 77014 ranks #518 of 4303 (88th percentile; typical, unremarkable volume for this code), indicating volumes that are above median but described as typical in the benchmarking labels. A few technical/planning codes show higher national placement — for example, 77295 sits at the 93th percentile (typical, unremarkable volume) and 77332 at the 94th percentile (typical, unremarkable volume) — suggesting stronger-than-average utilization of certain planning services relative to peers.

    Procedure-level throughput supports a steady treatment caseload: 1.1K claims for G6015 and 289 claims for 77336 (ongoing medical physics consultation) reflect frequent per-fraction delivery and weekly physics involvement, while substantial counts for device construction and simulation (77334 with 222 claims, 77290 with 59 claims) point to consistent use of custom devices and simulation in the clinic. These counts imply operational reliance on daily/weekly treatment workflows and ongoing physics resources rather than one-off procedural work.

    Clinical niche signals are present in the top codes: 55874 (16 claims, $2363 avg, $37.8K revenue) is a prostate-rectal spacer injection and its inclusion among the higher-revenue items suggests the provider treats prostate patients and offers ancillary procedures to support prostate radiotherapy. Coupled with high IMRT and SBRT billing, the code mix aligns with comprehensive external-beam management for a range of tumor sites including prostate.

    Referral and new-consult activity appears robust relative to peers: 99205 has 86 claims and $14.9K revenue and ranks at the 93th percentile (typical, unremarkable volume for this code), while established visit codes (99214, 99215) also appear in the top 25, indicating that the provider receives new-patient referrals and performs ongoing outpatient evaluation and management in addition to procedural radiation services. This mix suggests a clinically integrated workflow where consultation and treatment planning revenues accompany delivery revenue.

    Tenure in the Medicare program is well-established: the NPI was enumerated on 2012-03-28 (~14 years ago), implying a long-standing presence in the Medicare marketplace that may support stable referral relationships and operational maturity. Given that longevity and the concentration in a few high-revenue radiation codes, strategic changes in Medicare policy or reimbursement for IMRT/SBRT could meaningfully affect this provider’s revenue profile.

    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.

    31 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 session1,110$290$323.2K
    77014N/A1,160$100$112.5K
    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…60$1,480$90.5K
    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…100$810$83K
    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…260$150$39.7K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…20$2,360$37.8K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev170$190$31.5K
    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…70$370$26.1K
    77295Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…60$390$23.5K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…60$370$21.7K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60153101,270$290$405.3K
    77373210100$820$78.3K
    77014410900$60$57.8K
    7730161060$690$41.6K
    G6012210170$190$32.4K
    77427410160$150$28.5K
    7728051050$180$25.9K
    5587441020$990$18.8K
    77336310290$70$17.4K
    7733871070$250$16.7K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Winona Health ServicesMNGeneral Acute Care Hospital$0$13.4M
    St. Alexius Medical CenterNDSpecialist$0$3.6M
    St. Alexius Medical CenterNDGeneral Acute Care Hospital$0$3.5M
    Mid Dakota Clinic, Inc.NDClinic/Center$0$2.9M
    Ryan RamaekersNEHematology & Oncology Physician$2.1M$0
    Robert ReynoldsNDRadiation Oncology Physician$1.4M$0
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    John WatkinsNDRadiation Oncology Physician$1M$0
    Joseph RosenAZMedical Oncology Physician$978.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enable, Inc.NDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$40.8M
    Heartview FoundationNDSubstance Use Disorder Rehabilitation Clinic/Center$0$13.6M
    Sanford BismarckNDGeneral Acute Care Hospital$0$12.5M
    Bismarck Public Schools Early InterventionNDEarly Intervention Provider Agency$0$12M
    West Central Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    D. Michael Goebel D.d.s., PCNDPediatric Dentistry$0$5.8M
    Poppy's Promise LLCNDCommunity/Behavioral Health Agency$0$5.6M
    Sanford BismarckNDClinical Medical Laboratory$726.9K$4.3M
    Lasting Love HomecareNDIn Home Supportive Care Agency$0$3.6M
    Sanford BismarckNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.5M

    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. North Dakota Distribution
    Cole Kreofsky — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota