Physician

James E Schuster, MD

According to 2025 Medicare claims, James Schuster, MD (NPI: 1780660308) practices dermatology in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is AGNESIAN HEALTHCARE INC (NPI: 1730162991; TIN: 390807236) and primary practice location at 54935-3423. Schuster is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Schuster's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 658 traditional Medicare patients, billed 2,928 HCPCS/CPT codes, and received $114,617 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 1,692 prescription claims across 585 beneficiaries totaling $524,929 in drug costs, led by Skyrizi Pen (Risankizumab-Rzaa). Open Payments data shows 27 records totaling $241. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $194,489 to $524,929. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	824	4,646	$167,621
2016	803	4,522	$165,359
2017	788	4,242	$146,322
2018	807	4,025	$144,270
2019	829	4,148	$150,695
2020	706	3,272	$116,568
2021	749	3,298	$142,275
2022	737	3,093	$131,308
2023	684	2,999	$121,681
2024	658	2,928	$114,617

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	452	1,454	$194,489
2016	475	1,510	$139,346
2017	478	1,534	$118,061
2018	528	1,539	$138,820
2019	556	1,751	$260,743
2020	535	1,742	$379,566
2021	538	1,604	$667,753
2022	547	1,557	$869,620
2023	568	1,723	$761,643
2024	585	1,692	$524,929

DME Billing Trend

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

No connected DME records

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$71
17110	Destruction of skin growth, 1-14 growths	350	379	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	508	614	$58
17000	Destruction of precancer skin growth, 1 growth	282	321	$31
17003	Destruction of precancer skin growth, 2-14 growths	195	892	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Skyrizi Pen	Risankizumab-Rzaa	11	924	$239,304
Humira Pen	Adalimumab	12	336	$81,740
Zoryve	Roflumilast	12	355	$10,243
Clobetasol Propionate	Clobetasol Propionate	177	4,639	$6,034
Clobetasol Emollient	Clobetasol Propionate/Emoll	60	1,535	$5,304

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	27	$241	Dermavant Sciences, 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 James E. Schuster, MD?

Tedicare shows public-source Medicare data for James E. Schuster, MD (NPI 1780660308), 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 James E. Schuster, MD have ACO affiliation data?

James E. Schuster, MD is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to James E. Schuster, MD?

James E. Schuster, MD is linked to AGNESIAN HEALTHCARE INC (billing NPI 1730162991) in the available physician profile data.

Does James E. Schuster, MD have Open Payments data?

James E. Schuster, MD has 27 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.