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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShantanu Kulkarni
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    Shantanu Kulkarni — Billing Profile & Reimbursement Data

    NPI 1811996408 · Fort Wayne, IN · Physical Medicine & Rehabilitation Physician

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    Shantanu Kulkarni is a physical medicine & rehabilitation physician provider located in Fort Wayne, Indiana. This profile covers 22 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
    OrganizationShantanu Kulkarni
    Address5050 N Clinton St
    CityFort Wayne
    StateIN
    ZIP46825
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedJuly 18, 2005

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

    Payer SourceTotal Paid
    Medicare$116K
    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.

    22 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…320$90$27.4K
    99204The provider sees a new 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 provider…180$120$21.2K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).170$120$20.4K
    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…190$60$11.5K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…70$50$3.5K
    95886The 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…50$70$3.5K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…40$100$3.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$200$3.5K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…50$70$3.2K
    64479This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either cervical or thoracic).40$90$3.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644832519060$180$17.8K
    6463512815030$360$16.1K
    992142,14410,540110$80$15.5K
    6449312218050$180$12.2K
    6232310119050$150$10.8K
    992132,40010,82080$50$7.6K
    958869615080$60$7K
    6447993030$180$6K
    992041134,69030$100$4.9K
    206104501,00050$40$4.6K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthopaedics Northeast PCINOrthopaedic Surgery Physician$0$6.6M
    Mark KlaassenINOrthopaedic Surgery Physician$199.7K$0
    Micah SmithINOrthopaedic Surgery Physician$171.3K$0
    Alan McgeeINOrthopaedic Surgery Physician$163.2K$0
    Jason GaisfordINPhysician Assistant$135.3K$0
    Ward HamletINOrthopaedic Hand Surgery Physician$132.4K$0
    Stephen WrightINSports Medicine (Orthopaedic Surgery) Physician$130.9K$0
    Jon KarlINPain Medicine Physician$120.9K$0
    David ConnerINOrthopaedic Surgery Physician$106.2K$0
    Christopher JohnsonINOrthopaedic Surgery Physician$105.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A.i.d. Residential Services, LLCINIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$16.4M
    Familia Dental Fort Wayne PLLCINDental Clinic/Center$0$8.7M
    Lakewood Family Dental IncINDentist$0$8.7M
    Associated Surgeons And Physicians, LLCINObstetrics & Gynecology Physician$0$8.5M
    Hand In Hand Comprehensive Therapy Specialists IncINOccupational Therapist$0$6.4M
    Kids.healthcare PCINPediatrics Physician$0$4.8M
    Steppin Up Physical Therapy, Inc.INPhysical Therapist$0$4.6M
    Mobile Medical Maintenance, LLCINDurable Medical Equipment & Medical Supplies$0$4.3M
    Dupont Hospital LLCINGeneral Acute Care Hospital$0$3.8M
    Ear, Nose & Throat Associates, PCINOtolaryngology Physician$0$3.4M

    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. Indiana Distribution
    Shantanu Kulkarni — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana