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NPI 1598741837 · Spartanburg, SC · Neurology Physician
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Carol Kooistra is a neurology physician provider located in Spartanburg, South Carolina. This profile covers 42 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Carol Kooistra |
| Address | 541 Floyd Rd |
| City | Spartanburg |
| State | SC |
| ZIP | 29307 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | December 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $4.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
42 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J2350 | Injection, ocrelizumab, 1 mg | 15,600 | $50 | $733.2K |
| 99214 | The 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… | 1,050 | $80 | $85.9K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 16,900 | $10 | $84.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 620 | $60 | $33.9K |
| J0897 | Injection, denosumab, 1 mg | 1,260 | $20 | $22.7K |
| 99205 | The provider sees a new 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 provider… | 150 | $150 | $22.4K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 290 | $70 | $20.7K |
| 95911 | In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 100 | $150 | $15.4K |
| 96413 | Chemotherapy 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… | 140 | $90 | $13.5K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 250 | $50 | $11.4K |
Showing 1–10 of 42
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
42 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J2350 | 2 | 10 | 10,800 | $40 | $546.8K |
| J0897 | 190 | 250 | 2,400 | $20 | $91.2K |
| J0585 | 19 | 90 | 7,800 | $1 | $60.8K |
| J3490 | 40 | 50 | 70 | $510 | $57.7K |
| 99214 | 348 | 7,860 | 160 | $80 | $23.2K |
| 96413 | 74 | 150 | 140 | $90 | $22.1K |
| 95720 | 17 | 20 | 70 | $150 | $16.5K |
| 99213 | 488 | 7,690 | 100 | $60 | $10.8K |
| 95886 | 13 | 100 | 90 | $70 | $9.8K |
| 99215 | 830 | 2,360 | 40 | $120 | $9.3K |
Showing 1–10 of 42
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 50 | $90 | $4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 10 | $50 | $710 |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,554 | 2,770 | 210 | $60 | $254.5K |
| 99214 | The 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… | 1,920 | 2,480 | 350 | $80 | $246K |
Other providers in the same ZIP code as Carol Kooistra, ranked by combined Medicare and Medicaid revenue.
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