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    OpenPayerNPI Medicare & MedicaidChristian Schultheis
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    Christian Schultheis — Billing Profile & Reimbursement Data

    NPI 1932153822 · Des Moines, IA · Medical Oncology Physician

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    Christian Schultheis is a medical oncology physician provider located in Des Moines, Iowa. This profile covers 66 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
    OrganizationChristian Schultheis
    Address411 Laurel St Ste A300
    CityDes Moines
    StateIA
    ZIP50314
    TaxonomyMedical Oncology Physician
    NPI EnumeratedMay 22, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider reports $1.5M in total Medicare revenue and has no Medicaid billing on file, making their publicly visible payer mix effectively single-payer with Medicare as the dominant revenue source. The absence of any Medicaid claims on file suggests Medicare policy and utilization trends will disproportionately affect cash flow and strategic considerations for this practice.

    Revenue is highly concentrated in three oncology biologic codes: J9271 ($653.6K, 44.9% of Medicare revenue), J9144 ($225.7K, 15.5%), and J9299 ($136.8K, 9.4%), and the precomputed top‑3 share equals 69.9% of total Medicare revenue. This concentration indicates the practice’s top-line Medicare performance is driven primarily by high-cost infusion drugs rather than diversified ancillary or primary-care services.

    The code mix and descriptions point to an oncology infusion practice centered on immune and monoclonal antibody therapies: primary billing for pembrolizumab (J9271), daratumumab (J9144), and nivolumab (J9299) alongside chemotherapy administration codes (96413, 96365, 96367) and supportive agents such as pegfilgrastim (J2506) and denosumab (J0897). Together these codes are consistent with an outpatient infusion/service-line that manages systemic cancer therapy and associated supportive care.

    Despite very large dollar shares from high-cost drugs, this provider is not a national outlier for those individual drug codes: J9271 ranks #671 of 1841 providers (63th percentile; typical, unremarkable volume), J9144 ranks #433 of 615 (28th percentile; typical, unremarkable volume), and J9299 ranks #438 of 505 (13th percentile; typical, unremarkable volume). In other words, the provider bills substantial revenue on these agents but sits within the middle-to-lower range of national peers by volume for each drug rather than being a dominant national supplier.

    Evaluation-and-management coding is a notable strength: 99214 (661 claims) is at the 94th percentile (notably above typical national volume), 99213 (535 claims) is at the 95th percentile (notably above typical national volume), and 99215 (323 claims) is at the 97th percentile (notably above typical national volume). This pattern indicates high ambulatory visit throughput and above-typical visit complexity for outpatient management, consistent with ongoing oncology follow-up and care coordination.

    Supportive and ancillary services are also concentrated in outpatient workflows: lab panels and phlebotomy codes such as 80053 (895 claims, 93th percentile) and 85025 (1K claims, 93th percentile), plus 36415 (753 claims, 94th percentile), signal routine on-site laboratory monitoring, while chemotherapy administration (96413 at the 81th percentile) further confirms infusion-centered operations. These ancillary volumes suggest bundled patient encounters where infusion, labs, and E/M visits are co-located.

    The provider’s NPI was enumerated on 2006-05-22 (~20 years ago), indicating long-tenured Medicare participation and operational continuity that may support stable referral relationships and established infusion workflows. Long tenure combined with a high concentration in advanced immuno-oncology agents suggests an experienced oncology practice that has pivoted toward modern biologic treatments.

    Given that 69.9% of Medicare revenue comes from the top three drug codes, this practice has concentrated exposure to utilization and reimbursement shifts for specific high-cost oncology biologics; coupled with no Medicaid billing on file, policy or formulary changes in Medicare would have outsized impact compared with changes in other payers. Analysts should monitor Medicare reimbursement rules and biosimilar adoption for pembrolizumab, daratumumab, and nivolumab to assess near-term revenue sensitivity.

    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.

    66 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg15,200$40$653.6K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj5,940$40$225.7K
    J9299Injection, nivolumab, 1 mg6,840$20$136.8K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg2,300$40$82.8K
    J0897Injection, denosumab, 1 mg4,440$20$79.9K
    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…660$90$58.8K
    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…320$130$41.3K
    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…350$90$32.9K
    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…540$60$32.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg180$70$12.8K

    Showing 1–10 of 66

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 66 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    66 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271173017,200$40$902.3K
    J929971018,700$20$527.6K
    J91448109,900$40$476.8K
    J15697102,680$40$133.6K
    J0897461901,920$20$74.1K
    J25061620440$80$38.9K
    964132280210$90$24K
    J92175350140$130$23.4K
    J01858206,890$1$14.5K
    992142834,690100$70$14.4K

    Showing 1–10 of 66

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State University Of IowaIAFamily Medicine Physician$0$103.8M
    State University Of IowaIAGeneral Acute Care Hospital$0$90.4M
    Catholic Health Initiatives-iowa CorpIAGeneral Acute Care Hospital$0$26.4M
    State University Of IowaIADentist$0$25.8M
    Greater Regional Medical CenterIACritical Access Hospital$0$10M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Catholic Health Initiatives-iowa CorpIAClinical Medical Laboratory$0$8M
    Paul BoekeIAOphthalmology Physician$7.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Broadlawns Medical CenterIAGeneral Acute Care Hospital$0$112.9M
    Des Moines Independent Community School DistrictIALocal Education Agency (LEA)$0$22.8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$14.1M
    Broadlawns Medical CenterIACommunity/Behavioral Health Agency$0$13.2M
    Mercy Clinics IncIAPediatric Adolescent Medicine Physician$0$10.7M
    Des Moines River Physicians, LLCIAEmergency Medicine Physician$0$8.1M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.9M
    Vita Health ServicesIAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$7.5M
    House Of MercyIASubstance Abuse Rehabilitation Facility$0$7.4M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.2M

    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. Iowa Distribution
    Christian Schultheis — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa