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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStanley Koontz
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    Stanley Koontz — Billing Profile & Reimbursement Data

    NPI 1780662411 · New Bern, NC · Emergency Medicine Physician

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    Stanley Koontz is a emergency medicine physician provider located in New Bern, North Carolina. This profile covers 46 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
    OrganizationStanley Koontz
    Address800 Hospital Dr
    CityNew Bern
    StateNC
    ZIP28560
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJanuary 4, 2006

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

    Payer SourceTotal Paid
    Medicare$138.2K
    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…230$170$38.1K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.220$130$28.6K
    99215The provider sees an established 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…150$130$19.4K
    99205The 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…60$160$9.8K
    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.90$90$8K
    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.120$50$5.7K
    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…90$60$5.6K
    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…40$100$3.5K
    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…40$70$2.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.150$10$1.5K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3490588050$450$24.1K
    992853852,210110$130$16.9K
    800535611,400100$10$16.5K
    871868511030$10$16K
    9921414,50018,060110$80$15.1K
    8708612023040$10$13.7K
    870777610030$10$12.6K
    838806519020$40$11.9K
    99291512,63040$160$9.3K
    992156645,72040$110$7.7K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cfvhs Ed PhysiciansNCEmergency Medicine Physician$0$26.2M
    Genesis Emergency Physicians LLCOHEmergency Medicine Physician$0$10.8M
    Christopher FlyeNCDiagnostic Radiology Physician$1.7M$0
    Cchc Endoscopy Center IncNCEndoscopy Clinic/Center$988.7K$57.5K
    Kent LucasNCInternal Medicine Physician$475.5K$0
    Matthew GroveNCInterventional Cardiology Physician$451K$0
    Michael CascielloNCCardiovascular Disease Physician$449.4K$0
    Warren MurrayNCInternal Medicine Physician$417.1K$0
    Brittany GradyNCFamily Medicine Physician$391K$0
    Kevin MacdonaldNCFamily Medicine Physician$384.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinaeast Medical CenterNCGeneral Acute Care Hospital$0$22.9M
    Craven CountyNCState or Local Public Health Clinic/Center$0$10.8M
    Human Resources Unlimited, Inc.NCMental Health Counselor$0$7.3M
    Craven CountyNCLand Ambulance$632.1K$1.5M
    Scott McclellanNCDermatopathology Physician$1.5M$0
    Sean MurphyNCDermatology Physician$1.1M$0
    James PoloNCDermatology Physician$966.5K$0
    Mark SinningNCSurgery Physician$639.3K$0
    Brian TheuneNCSurgery Physician$434.6K$0
    Kirk HarumNCPain Medicine (Anesthesiology) Physician$337.9K$790

    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 Carolina Distribution
    Stanley Koontz — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina