Physician

Roger M. Kulstad, M.D.

According to 2025 Medicare claims, Roger Kulstad, M.D. (NPI: 1396781654) practices endocrinology in the Wausau, WI market, with the plurality of this provider's patient population coming from Marathon, WI. This provider's primary affiliated billing organization is DEAN HEALTH SYSTEMS, INC (NPI: 1053358846; TIN: 391128616) and primary practice location at 53716-2257. Kulstad is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Kulstad's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 382 traditional Medicare patients, billed 10,367 HCPCS/CPT codes, and received $197,394 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,945 prescription claims across 392 beneficiaries totaling $1,345,204 in drug costs, led by Teriparatide (Teriparatide). DME data shows 437 claims. Open Payments data shows 2 records totaling $48. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $67,783 to $197,394. Similarly, Part D prescription costs have moved sharply higher in recent years, from $942,849 to $1,345,204. For DME billing, reported payments rose steadily, from $4,992 to $128,458.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	285	2,647	$67,783
2016	298	981	$38,659
2017	244	548	$30,259
2018	272	643	$28,028
2019	248	5,147	$81,512
2020	239	2,241	$68,900
2021	289	3,475	$86,481
2022	324	5,227	$204,652
2023	368	8,329	$271,517
2024	382	10,367	$197,394

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	217	2,977	$942,849
2016	216	2,194	$833,609
2017	122	706	$383,435
2018	139	919	$579,599
2019	212	1,080	$578,667
2020	185	1,078	$496,158
2021	237	1,305	$561,660
2022	312	2,082	$1,004,307
2023	358	2,486	$1,328,956
2024	392	2,945	$1,345,204

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	91	347	$9,115
2016	91	268	$6,383
2017	32	79	$1,889
2018	23	176	$18,633
2019	17	117	$17,392
2020	31	147	$21,727
2021	40	292	$48,353
2022	69	381	$71,034
2023	83	458	$93,531
2024	104	437	$137,452

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	66	66	$131
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	150	243	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	174	$82
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	231	287	$12
36415	Insertion of needle into vein for collection of blood sample	193	421	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Teriparatide	Teriparatide	97	2,746	$198,983
Ozempic	Semaglutide	133	5,361	$158,762
Jardiance	Empagliflozin	130	7,721	$146,354
Tymlos	Abaloparatide	39	1,170	$110,069
Cinacalcet Hcl	Cinacalcet Hcl	24	1,002	$99,798

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	45	216	$82,753
A4238	Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	30	$15,972
E0784	External ambulatory infusion pump, insulin	Y	N/R	41	$14,314
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	16	43	$10,418
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	11	40	$10,199

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$48	BETA BIONICS, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Roger M. Kulstad, M.D.?

Tedicare shows public-source Medicare data for Roger M. Kulstad, M.D. (NPI 1396781654), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Roger M. Kulstad, M.D. have ACO affiliation data?

Roger M. Kulstad, M.D. is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Roger M. Kulstad, M.D.?

Roger M. Kulstad, M.D. is linked to DEAN HEALTH SYSTEMS, INC (billing NPI 1053358846) in the available physician profile data.

Does Roger M. Kulstad, M.D. have Open Payments data?

Roger M. Kulstad, M.D. has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.