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    OpenPayerNPI Medicare & MedicaidJulia Schaefer-cutillo
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    Julia Schaefer-cutillo — Billing Profile & Reimbursement Data

    NPI 1912911389 · Elizabeth City, NC · Hematology & Oncology Physician

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    Julia Schaefer-cutillo is a hematology & oncology physician provider located in Elizabeth City, North Carolina. This profile covers 90 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
    OrganizationJulia Schaefer-cutillo
    Address1503b N Road St
    CityElizabeth City
    StateNC
    ZIP27909
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 28, 2006

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

    Payer SourceTotal Paid
    Medicare$4M
    Medicaid$0

    Key Findings

    This provider is a hematology & oncology physician with a long Medicare presence, enumerated since 2006-07-28 (about 20 years). That tenure indicates established clinical operations and a sustained Medicare billing relationship rather than a recent entrant in the market. The profile supports interpretation of consistent oncology-focused outpatient activity over an extended period.

    Medicare is the overwhelmingly dominant payer for this provider: lifetime Medicare revenue is $4M while there is no Medicaid billing on file, making the provider effectively single-payer (Medicare) in our dataset. Analysts should treat Medicaid as absent when modeling payer mix or network access for this provider.

    Revenue concentration is highly focused: the top three Medicare codes together account for 79.7% of total Medicare revenue, indicating that a small set of drug administrations drives most of the practice’s Medicare income. This concentration suggests the business is centered on high-cost oncology infusions rather than a broad mix of office-based E/M services.

    The provider is a national outlier on some oncology drug codes. J9271 (pembrolizumab) generated $2.4M (61.9% of Medicare revenue) and the provider ranks #13 of 1841 nationally (99th percentile), labeled an extreme outlier — signaling exceptionally high volume of pembrolizumab billing compared with peers. Similarly, 96413 (chemotherapy administration) is an extreme outlier by rank (#113 of 7514, 99th percentile), reinforcing that high-volume infusion therapy is core to the practice.

    Other oncology-supportive drugs also appear at elevated volumes: J9299 (nivolumab) produced $385.9K (10.1% of Medicare revenue) with a mid-level national rank (222 of 505, 56th percentile), while J0897 (denosumab) accounted for $293.8K (7.7% of revenue) and ranks #447 of 10057 (96th percentile), described as notably above typical national volume. These code-level patterns together indicate a service line mix emphasizing immunotherapy and supportive bone-targeted agents in addition to direct chemotherapy.

    The practice reports substantial procedural and visit-level activity but these are a small share of revenue compared with drug billing: E/M codes 99214 and 99213 together account for modest revenue ($92.5K and $47.1K respectively) and rank in high percentiles nationally, implying a steady outpatient follow-up and management workload that complements infusion services. Infusion-related administration add-on and supply codes (96375, 96417, G0498) also appear above typical volumes, consistent with an infusion-centric clinic workflow.

    Several codes are statistical extremes for volume and should shape competitive assessments: high ranks labeled “extreme outlier” or “notably above typical” for J9271, 96413, 96375, and 96372 indicate this provider is a major national-volume administrator of certain oncology drugs and infusion services, making them a significant node in the pembrolizumab/nivolumab treatment supply chain. By contrast, some drug codes (e.g., J0885, J9217) sit at typical or lower percentiles, showing the provider’s dominance is concentrated in specific biologics rather than uniformly across all oncology medications.

    For payer or network negotiation and capacity-planning, the combination of extreme pembrolizumab revenue ($2.4M) and the overall $4M Medicare lifetime intake implies this clinician or site is heavily dependent on a few high-cost biologics; any changes in coverage, reimbursement, or utilization of those specific agents could materially impact practice revenue. Given no Medicaid activity, capacity assumptions for Medicaid beneficiaries should be treated as negligible unless external data indicates otherwise.

    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.

    90 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg55,000$40$2.4M
    J9299Injection, nivolumab, 1 mg16,080$20$385.9K
    J0897Injection, denosumab, 1 mg16,320$20$293.8K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)60,240$1$120.5K
    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…1,020$90$92.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…910$100$86.7K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg960$80$77.8K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg700$100$66.5K
    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…770$60$47.1K
    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.3,040$10$30.4K

    Showing 1–10 of 90

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 90 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    90 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92711309,600$40$528.3K
    J929931010,800$20$295.8K
    881854101,270$20$216.1K
    J089784302,100$20$63.9K
    J2506110850$80$61K
    82784630210$10$50.3K
    83520410290$20$48.3K
    8818441060$50$29.9K
    Q5122110260$90$28.8K
    863341640140$20$25.4K

    Showing 1–10 of 90

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Julia Schaefer-cutillo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edward BennettNYInternal Medicine Physician$152.7K$6.7M
    Virginia Oncology AssociatesVAHematology & Oncology Physician$0$6.2M
    Maryland Oncology Hematology P.A.MDHematology & Oncology Physician$0$4.6M
    Victor ArchieVARadiation Oncology Physician$4M$0
    Mark FlemingVAHematology & Oncology Physician$3.9M$0
    Eric ShakinNYOphthalmology Physician$3.3M$291.7K
    Thomas AlbericoVAHematology & Oncology Physician$3.5M$0
    Lynda PiboonNYObstetrics & Gynecology Physician$62.2K$3.1M
    David KobulnickyVAHematology & Oncology Physician$3M$0
    Celesteann BremerVAHematology & Oncology Physician$2.8M$0

    Nearby Providers

    Other providers in the same ZIP code as Julia Schaefer-cutillo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara Albemarle Regional Medical CenterNCGeneral Acute Care Hospital$0$13.8M
    Cmg Of North Carolina, Inc.NCPediatrics Physician$0$9.1M
    Benjamin House, Inc.NCDevelopmentally Disabled Services Day Training Agency$0$7.1M
    The Brooks Senior Living LLCNCAssisted Living Facility$0$7M
    County Of Pasquotank Office Of The TreasurerNCParamedic$1.2M$1.7M
    Lindsey WhiteNCCardiovascular Disease Physician$820.2K$0
    Jitendra SwarupNCOphthalmology Physician$702.6K$0
    Alan ManietNCCardiovascular Disease Physician$556.2K$0
    Tejwant ChandiNCInternal Medicine Physician$514.9K$0
    Sidney SuttonNCFamily Medicine Physician$315.4K$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. North Carolina Distribution
    Julia Schaefer-cutillo — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina