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    OpenPayerNPI Medicare & MedicaidRobert Shusman
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    Robert Shusman — Billing Profile & Reimbursement Data

    NPI 1609873991 · Springfield, PA · Family Medicine Physician

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    Robert Shusman is a family medicine physician provider located in Springfield, Pennsylvania. This profile covers 8 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 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Shusman
    Address9 N Brookside Rd
    CitySpringfield
    StatePA
    ZIP19064
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 1, 2005

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

    Payer SourceTotal Paid
    Medicare$14.3K
    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.

    8 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…130$50$5.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$60$4.1K
    99213The 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…80$20$1.7K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…30$50$1.3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…10$70$840
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…10$40$600
    G0403Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report30$10$170
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…10$10$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,18623,230100$80$14.5K
    G04392,3355,25060$110$9.5K
    9921310,05822,37070$60$7.7K
    9934842356060$50$5.2K
    994951,3651,55020$130$3.1K
    930003,0803,41030$10$1.4K
    G018063185020$40$1K
    G0403513010$10$110

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neil MushlinPAPulmonary Disease Physician$669.7K$0
    David HoPAFamily Medicine Physician$527.8K$0
    Matthew NaeglePARheumatology Physician$433.1K$0
    Somera AliPAEndocrinology, Diabetes & Metabolism Physician$372.9K$0
    Raymond KovalskiPAPulmonary Disease Physician$237K$0
    Anwar HussainPACardiovascular Disease Physician$178.2K$7.9K
    Melissa Sawyer FalconPAEndocrinology, Diabetes & Metabolism Physician$140.7K$0
    Kellen KovalovichPAGastroenterology Physician$127.2K$0
    Andrew RosePAInterventional Cardiology Physician$70K$0
    Daniel MartinPAFamily Medicine Physician$61.1K$3.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Keystone Quality Transport CompanyPALand Ambulance$3.4M$13.1M
    Joshua SteinerPAOphthalmology Physician$1.4M$860
    Kimberly CampbellPACardiovascular Disease Physician$899.6K$50
    John GodfreyPACardiovascular Disease Physician$772.2K$270
    Leonard GinsburgPAOphthalmology Physician$618.5K$0
    Joshua GreenPAPhysical Therapist$345K$0
    James MoranPASports Medicine (Family Medicine) Physician$232.2K$0
    Nancy CrawfordPAOphthalmology Physician$155K$0
    Elizabeth MerryfieldPAPsychologist$144.9K$0
    Paul KoleckiPAEmergency Medicine Physician$130.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Robert Shusman — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania