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

    NPI 1659377497 · Bucyrus, OH · Orthopaedic Surgery Physician

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    Robert Kalb is a orthopaedic surgery physician provider located in Bucyrus, Ohio. This profile covers 15 Medicare and 8 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)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Kalb
    Address140 Hill St
    CityBucyrus
    StateOH
    ZIP44820
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 27, 2005

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

    Payer SourceTotal Paid
    Medicaid$53.9K
    Medicare$22.3K

    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.

    15 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…100$70$7.2K
    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…100$50$4.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$90$1.8K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…30$50$1.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…30$40$1.1K
    99203The provider sees a new 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 provider…20$60$980
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.10$80$950
    11981The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.20$30$530
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.30$10$200

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,67120,010100$70$11.7K
    992335,0405,57070$90$11.2K
    992234,0365,59040$130$7.6K
    2061122328060$70$6.8K
    992137,95020,00070$50$6.6K
    992842,7852,86060$90$6.1K
    206101,1861,64060$50$4.7K
    992034,8256,38030$60$2.9K
    7356455173040$20$1.6K
    735021,0271,21040$20$1.1K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…610$40$23.1K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…470$20$10.2K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…370$20$6.2K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg240$20$4.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…100$50$4.5K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.200$20$4.2K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…50$20$970
    72220In this procedure, the provider takes at least two X–ray views of the sacrum and coccyx bone to check any fracture, swelling, or reason of pain in the lower back area.10$10$180

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Ohio median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,4865,080560$40$323.9K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…5438401,040$50$220.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…150220380$70$104.3K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…250370830$20$61.5K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…225300240$20$16.2K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.115180390$10$14.7K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg47100200$10$7.6K
    72220In this procedure, the provider takes at least two X–ray views of the sacrum and coccyx bone to check any fracture, swelling, or reason of pain in the lower back area.263040$10$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Health SystemIAGeneral Acute Care Hospital$0$44.3M
    Genesis Health SystemIAFamily Medicine Physician$0$23.2M
    Genesis Health SystemIASurgery Physician$0$9.1M
    Mercy Specialty ClinicIAFamily Medicine Physician$0$6.6M
    Genesis Health SystemILAmbulance$0$4M
    Robert MixsellIAFamily Medicine Physician$427.8K$1.4M
    Sora ReddyILInterventional Cardiology Physician$1.3M$81K
    Genesis Health SystemIAAnatomic Pathology & Clinical Pathology Physician$0$1.2M
    Aswartha PothulaILInterventional Cardiology Physician$870.4K$121.2K
    Sanjeev PuriILInterventional Cardiology Physician$847.7K$91.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bucyrus Community Hospital LLCOHCritical Access Hospital$0$10.2M
    The Kroger CoOHCommunity/Retail Pharmacy$104.7K$0
    Lawrence LewisOHEmergency Medicine Physician$73.7K$0
    Kenneth MillerOHChiropractor$37.4K$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. Ohio Distribution
    Robert Kalb — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Robert Kalb — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio