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

    NPI 1730159674 · Mayfield Heights, OH · Allergy & Immunology Physician

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    Robert Hostoffer is a allergy & immunology physician provider located in Mayfield Heights, Ohio. This profile covers 25 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
    OrganizationRobert Hostoffer
    Address5915 Landerbrook Dr
    CityMayfield Heights
    StateOH
    ZIP44124
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedJanuary 24, 2006

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

    Payer SourceTotal Paid
    Medicare$3.5M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in scale: lifetime Medicare revenue is $3.5M while Medicaid shows none (no Medicaid billing on file), indicating operations and revenue are concentrated in the Medicare program rather than a dual‑payer mix. Analysts should treat this profile as Medicare‑dependent for any utilization or reimbursement sensitivity analyses.

    Revenue is highly concentrated in a small set of biologic and immune‑globulin products: the top three Medicare codes (J1556, J2182, J1569) together account for 91.8% of this provider's total Medicare revenue, with J1556 alone generating $2.7M (78.7% of Medicare revenue), J2182 $266.8K, and J1569 $187.6K. This concentration implies the practice’s financial performance is closely tied to utilization and reimbursement trends for those specific drugs.

    The code mix and volumes point to an infusion/biologic administration business model rather than a typical office‑visit allergy clinic: high volumes for J1556 (49.7K claims, $55 avg paid/claim) and J1569 (5.5K claims, $34 avg paid/claim) alongside elevated infusion administration codes (for example, 96365 with 766 claims, $45 avg paid/claim and 96366 with 1.5K claims, $15 avg paid/claim) indicate routine in‑office or clinic infusions of immune globulin and biologic agents. These patterns are consistent with a specialty infusion service that bills both drug and infusion administration.

    For the dominant product J1556 the provider is a major national participant: J1556 ranks #4 of 46 providers nationally and sits in the 93th percentile, which, together with its $2.7M revenue contribution, signals unusually high national volume for that code versus peers. That standing suggests this provider is a significant supplier of that specific immune globulin product to Medicare beneficiaries.

    Several administration codes show statistically large activity relative to peers and reinforce the infusion specialization: 96366 is flagged as an "extreme outlier, far above typical national volume" (1.5K claims, $15 avg paid/claim, $23.1K revenue, rank #26 of 2976, 99th percentile) and 96365 is "notably above typical national volume" (766 claims, $45 avg paid/claim, $34.5K revenue, rank #164 of 8873, 98th percentile). These elevated percentiles point to consistently high throughput of multi‑hour infusion encounters.

    Traditional E/M and allergy testing services generate only a small portion of revenue: 99214 accounts for $36.6K (402 claims, $91 avg paid/claim, 1.1% of Medicare revenue) and common allergy testing codes such as 95004 (912 claims, $3 avg paid/claim, $2.7K revenue) and 95165 (509 claims, $10 avg paid/claim, $5.1K revenue) are present but represent minor revenue streams. This suggests the clinical mix is weighted toward drug administration over evaluation and management or diagnostic testing.

    The provider has an established billing history, with the NPI enumerated on 2006-01-24 (~20 years ago), which supports interpretation of these volumes as the output of a mature practice rather than a short‑term billing anomaly. Longevity combined with concentrated high volumes for specific biologics suggests a stable operational model focused on infusion/biologic delivery.

    The extreme revenue concentration creates both operational vulnerability and negotiating leverage: dependence on J1556 (78.7% of Medicare revenue) and the Medicare program overall means changes to reimbursement or utilization for that drug could materially affect topline revenue, while the provider’s high national rank and percentile for J1556 and infusion administration codes may provide leverage in payer contracting or supplier negotiations given demonstrated scale.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1556Injection, immune globulin (bivigam), 500 mg49,730$60$2.7M
    J2182Injection, mepolizumab, 1 mg11,600$20$266.8K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg5,520$30$187.6K
    J2357Injection, omalizumab, 5 mg5,480$30$147.8K
    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…400$90$36.6K
    96365The 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.770$50$34.5K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.1,540$20$23.1K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…580$10$6.4K
    J1201Injection, cetirizine hydrochloride, 0.5 mg490$10$5.9K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.510$10$5.1K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J155611047,060$60$2.6M
    J218231011,600$20$264.5K
    J23576108,430$30$230.4K
    J15695204,900$40$203.8K
    951655590790$10$14.1K
    992141,82720,010100$70$11.7K
    9921313,55520,00070$50$6.6K
    J1201110490$10$5.8K
    906941,3112,28050$80$5.8K
    95004711001,600$1$5.6K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Haig TcheurekdjianOHAllergy & Immunology Physician$2.9M$0
    Christopher MitchellOHPhysician Assistant$290K$0
    Devi JhaveriOHStudent in an Organized Health Care Education/Training Program$33.8K$0
    Shan Shan WuOHAllergy & Immunology Physician$30.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    M & Y Care, LLCOHHome Health Agency$0$55.5M
    Harmony Home Care Skilled Services Inc.OHHome Health Agency$0$37.5M
    Mr Homecare Of Cleveland Oh IncOHHome Health Agency$0$34.6M
    Cleveland Clinic Health System - East RegionOHGeneral Acute Care Hospital$0$32.8M
    Bhc Services, Inc.OHHome Health Agency$0$21.1M
    Shalom Adult Health Center,llcOHAdult Day Care Clinic/Center$0$8.9M
    Northern Ohio Surgery Center, LLCOHAmbulatory Surgical Clinic/Center$1.3M$0
    Mayfield Heights CityOHAmbulance$256.2K$518.3K
    Justin WoodhouseOHMOHS-Micrographic Surgery Physician$521.6K$0
    Rajesh AgarwalOHSpecialist$468.1K$710

    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 Hostoffer — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio