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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStephen Mularz
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    Stephen Mularz — Billing Profile & Reimbursement Data

    NPI 1982018156 · Hazard, KY · Gastroenterology Physician

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    Stephen Mularz is a gastroenterology physician provider located in Hazard, Kentucky. This profile covers 15 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
    OrganizationStephen Mularz
    Address200 Medical Center Dr
    CityHazard
    StateKY
    ZIP41701
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 16, 2014

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

    Payer SourceTotal Paid
    Medicare$53.6K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.170$60$10.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…80$110$8.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…40$180$7.4K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…20$340$6.2K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…80$60$5.1K
    43244The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and treats enlarged blood vessels in the esophagus or stomach with band ligation, i.e.,…20$180$3.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$60$2.2K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk10$160$2.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$1.7K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.20$80$1.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538513725050$250$20.2K
    992322,1632,860100$60$11.6K
    43274132020$280$10.1K
    453806124040$140$9.4K
    432392927060$90$7.4K
    G01219913020$230$5K
    992221,5782,07030$90$4.5K
    4537813915020$150$3.6K
    4324411020$180$3.5K
    992032,0322,38030$70$2.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mousab AlmusaddyILCritical Care Medicine (Internal Medicine) Physician$203.4K$595.3K
    Srinivasa AppakonduKYCardiovascular Disease Physician$556.5K$0
    Nagabhushanam BollavaramKYPulmonary Disease Physician$230.6K$0
    Salahadin GharadKYCardiovascular Disease Physician$225.6K$0
    Mitchell WickerKYInternal Medicine Physician$172.9K$0
    Gaurav ChaudharyKYNephrology Physician$169K$1.6K
    David SigalowFLUrology Physician$170.5K$0
    Charles PayneTNUrology Physician$150.1K$0
    Jayaramakrishna DepaKYNephrology Physician$149.2K$0
    Bruce WoodworthTNUrology Physician$148.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kentucky River Community Care, IncKYSpecialist$0$109.1M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$107.9M
    Kentucky River Community Care, IncKYMental Health Counselor$0$104M
    Kentucky River Area Dev DistKYSupports Brokerage Agency$0$43.4M
    Primary Care Centers Of Eastern Kentucky, LLCKYRural Health Clinic/Center$0$26.2M
    Soaring Potentials LllpKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$20.4M
    Bhg Xxvi, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$493.7K$16.1M
    Southern Medical Partners, LLCKYEmergency Medicine Physician$0$15.6M
    Dungarvin Kentucky, LLC - HazardKYDevelopmentally Disabled Services Day Training Agency$0$10.1M
    Quantum Healthcare Associates IncKYGeneral Practice Physician$0$9.1M

    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. Kentucky Distribution
    Stephen Mularz — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky