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    OpenPayerNPI Medicare & MedicaidMatthew Forsthoefel
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    Matthew Forsthoefel — Billing Profile & Reimbursement Data

    NPI 1942664560 · Washington, DC · Radiation Oncology Physician

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    Matthew Forsthoefel is a radiation oncology physician provider located in Washington, District of Columbia. This profile covers 17 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
    OrganizationMatthew Forsthoefel
    Address2150 Pennsylvania Ave Nw
    CityWashington
    StateDC
    ZIP20037
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedApril 9, 2016

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider reports Total Medicare revenue: $1.1M and has no Medicaid billing on file, making their public payer footprint effectively single‑payer with Medicare as the dominant source of recorded revenue. The absence of Medicaid claims suggests either limited participation in Medicaid or a caseload concentrated in Medicare‑eligible patients.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 71.5% of this provider's total Medicare revenue. Those top codes are G6015 ($593.3K, 54.4%), 77301 ($93.8K, 8.6%), and G6002 ($92K, 8.4%), indicating most dollars flow from a small set of radiation‑delivery and guidance services.

    The CPT/HCPCS mix indicates a procedure‑focused radiation oncology practice that emphasizes advanced delivery and image‑guided techniques. High revenue and counts for G6015 (Intensity modulated treatment delivery) and meaningful shares from 77301 (IMRT planning/delivery) and G6002 (stereoscopic x‑ray guidance) point to an operation centered on IMRT and image‑guided radiation therapy workflows rather than predominantly E/M office care.

    G6002 is an acknowledged statistical outlier: it ranks #28 of 2280 providers nationally (99th percentile; extreme outlier, far above typical national volume), which signals unusually heavy utilization of stereoscopic x‑ray guidance compared with peers. That exceptionally high volume for G6002 likely reflects a deliberate clinical emphasis or practice pattern focused on image‑guided localization during treatment delivery.

    G6015 also demonstrates strong national standing, ranking #69 of 1429 providers (95th percentile; notably above typical national volume), and 77427 ranks #210 of 4720 providers (96th percentile; notably above typical national volume). Together these rankings show the provider is a major national outlier on several core radiation delivery codes rather than a modest or average user for those services.

    Complementary planning and physics services appear at more typical volumes: 77373 (80 claims, $57.8K; 5.3% of Medicare revenue) and 77336 (498 claims, $29.9K; 2.7%) are present but described as typical or unremarkable volumes. This mix is consistent with a high‑throughput treatment delivery model supported by routine medical physics and treatment planning activity.

    Claim‑level patterns show high procedural throughput: G6015 has 2.3K claims at $254 avg paid/claim (yielding $593.3K), and G6002 has 1.7K claims at $53 avg paid/claim (yielding $92K). These figures imply the provider generates most revenue via high claim volumes for specialized treatment and guidance codes rather than through high per‑claim reimbursement for office E/M services.

    The provider’s NPI was enumerated on 2016-04-09 (~10 years ago), indicating several years of recorded Medicare activity. Coupled with concentrated Medicare revenue and no Medicaid billing on file, the data suggest an established, Medicare‑focused radiation oncology practice with specialized, high‑volume use of IMRT and image‑guided delivery services.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session2,340$250$593.3K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…70$1,320$93.8K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy1,740$50$92K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…480$140$69.2K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…80$720$57.8K
    77014N/A670$90$57.7K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…500$60$29.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…90$340$29.5K
    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…100$160$15.6K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev80$170$14.3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015110320$270$250.3K
    7737311080$720$57.9K
    7743561030$560$38.3K
    77427120140$160$25.5K
    7730131040$540$23.1K
    77014510350$50$23.1K
    G6002110450$30$22.6K
    G601211080$170$14.3K
    7733611070$60$12.8K
    7726372070$140$10.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Urology, PscINUrology Physician$0$5.6M
    David MusichINRadiation Oncology Physician$1.1M$0
    Lawrence HochmanINRadiation Oncology Physician$1.1M$0
    Ryan MaloneINUrology Physician$784.5K$0
    Charles GoodwinINUrology Physician$596.2K$0
    John EiflerINUrology Physician$427.6K$0
    Christopher SmithINUrology Physician$426.4K$0
    Dennis SmithINUrology Physician$408.6K$0
    John JurigeINUrology Physician$408.3K$0
    David RosenbaumINUrology Physician$401.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    District Hospital Partners L PDCGeneral Acute Care Hospital$0$136.3M
    Medical Faculty Associates, IncDCAnesthesiology Physician$0$75.7M
    Baymark Health Services Of West Virginia, Inc.DCSubstance Use Disorder Rehabilitation Clinic/Center$571.6K$6.4M
    Medical Home Development GroupDCFamily Medicine Physician$0$6.7M
    The Foundation For Contemporary Mental HealthDCPublic Health or Welfare Agency$0$5.4M
    Dva Renal Healthcare IncDCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M
    Miriam's KitchenDCCase Management Agency$0$3.1M
    Faysal HarounDCHematology & Oncology Physician$2.4M$0
    Rishi SoodDCVascular & Interventional Radiology Physician$2.2M$0
    Mustafa AliDCInternal Medicine Physician$135.4K$909.4K

    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. District of Columbia Distribution
    Matthew Forsthoefel — 6 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia