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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTimothy Kasunic
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    Timothy Kasunic — Billing Profile & Reimbursement Data

    NPI 1013975903 · Toledo, OH · Hematology & Oncology Physician

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    Timothy Kasunic is a hematology & oncology physician provider located in Toledo, Ohio. This profile covers 50 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
    OrganizationTimothy Kasunic
    Address1325 Conference Dr Ste 2010
    CityToledo
    StateOH
    ZIP43614
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 2, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in public programs: lifetime Medicare revenue is $2M while there is no Medicaid billing on file, so all reported public payor activity is concentrated in Medicare and there is no Medicaid footprint to assess. Analysts should treat this entity as Medicare-focused when modeling payor mix or contracting exposure.

    Revenue concentration is high within a small set of oncology biologics: the precomputed top 3 Medicare codes by revenue account for 59.0% of this provider's total Medicare revenue, led by J9144 ($478.8K, 24.6%), J9271 ($448.4K, 23.1%), and J9299 ($220.3K, 11.3%). This concentration indicates most Medicare dollars flow from a few high-cost infusion agents rather than a broad mix of ancillary services.

    The code mix and descriptions indicate an infusion-centered hematology/oncology practice. High-revenue oncology biologics (J9144 daratumumab, J9271 pembrolizumab, J9299 nivolumab) are the primary drivers, supported by chemotherapy administration codes such as 96413 (484 claims, $45.5K revenue) and G0498 (55 claims, $6.7K revenue), which together point to regular in-office infusion treatment delivery rather than a predominantly procedural or inpatient practice.

    Competitive standing on the top drugs is modest rather than dominant: J9144 ranks #112 of 615 providers nationally (81th percentile; typical, unremarkable volume), J9271 ranks #967 of 1841 providers nationally (47th percentile; typical, unremarkable volume), and J9299 ranks #364 of 505 providers nationally (28th percentile; typical, unremarkable volume). These rank/percentile placements suggest the provider participates at typical volumes for these agents nationally and is not an outlier market leader.

    There are programmatic signals of very high-frequency, low-dollar billing in specific items: J1439 shows 72.8K claims at $1 avg paid/claim for $72.8K revenue and ranks #129 of 1209 providers nationally (89th percentile; typical, unremarkable volume), and 96372 has 564 claims, $10 avg paid/claim, $5.6K revenue and ranks #1305 of 58224 providers nationally (98th percentile; notably above typical national volume). Together these suggest routine use of frequent, low-paid injectable treatments or supply-billed items alongside the high-cost biologics.

    Clinical support and adjunct therapies also contribute meaningful Medicare revenue: J1569 immune globulin accounts for $178.3K (9.2%) and J9312 rituximab accounts for $140.3K (7.2%) of Medicare revenue, while J0897 denosumab contributes $141.5K (7.3%). These lines indicate the practice manages a spectrum of hematology/oncology care beyond immune checkpoint inhibitors, including immunoglobulin therapy and monoclonal antibody treatments.

    Office evaluation-and-management revenue is present but secondary to infusion services: 99214 generated $49K (538 claims, 2.5% of Medicare revenue) and 99213 generated $13.9K (239 claims, 0.7%), with 99214 ranking #43311 of 479517 providers nationally (91th percentile; typical, unremarkable volume). This suggests that while the provider conducts E/M visits, the bulk of clinical activity and revenue derives from drug administration rather than face-to-face office visit billing.

    This provider shows long-tenure enrollment in Medicare, with NPI enumerated 2006-05-02 (~20 years ago), which supports longitudinal experience in the oncology/hematology service line and may be relevant when considering referral patterns, historical utilization, or contracting relationships in the Toledo, OH market.

    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.

    50 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj13,680$40$478.8K
    J9271Injection, pembrolizumab, 1 mg11,800$40$448.4K
    J9299Injection, nivolumab, 1 mg9,580$20$220.3K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg4,950$40$178.3K
    J0897Injection, denosumab, 1 mg7,860$20$141.5K
    J9312Injection, rituximab, 10 mg2,300$60$140.3K
    J1439Injection, ferric carboxymaltose, 1 mg72,750$1$72.8K
    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…540$90$49K
    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…480$90$45.5K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units5,030$10$30.2K

    Showing 1–10 of 50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 50 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    50 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271234012,100$40$603K
    J914411010,260$40$380.5K
    J929951013,660$20$376.8K
    J15698204,900$40$203.8K
    J93123102,300$60$166.7K
    J0897312302,880$20$79.5K
    J2506810480$80$49.8K
    J143942020,250$1$27.4K
    J921782100120$130$22.3K
    9641313210130$90$16.8K

    Showing 1–10 of 50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Toledo HospitalOHGeneral Acute Care Hospital$0$151.2M
    University Of Toledo Physicians LLCOHInternal Medicine Physician$0$17.8M
    Toledo Clinic IncorporatedOHSurgery Physician$0$15.9M
    Toledo Clinic IncorporatedOHClinical Medical Laboratory$2.1M$2M
    Toledo Clinic IncorporatedOHClinic/Center$2.4M$812.9K
    David KoubaOHDermatology Physician$1.9M$0
    Niraj ShahOHOphthalmology Physician$1.3M$0
    Shaili DesaiOHHematology & Oncology Physician$1.2M$0
    Richard PhinneyOHMedical Oncology Physician$1.2M$0
    Mohammed AbusamiehOHRheumatology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical University Of Ohio At ToledoOHGeneral Acute Care Hospital$0$50.7M
    Mohammad RashidOHHematology & Oncology Physician$565.7K$0
    Satheesh RamineniOHAdult Reconstructive Orthopaedic Surgery Physician$314.9K$0
    Ellis SampramOHGeneral Practice Physician$269.9K$0
    Raja HanifOHFamily Medicine Physician$220.6K$0
    Charu TrivediOHHematology & Oncology Physician$218.1K$0
    Mohammad AbdulrasoolOHFamily Medicine Physician$179.7K$0
    Kunal YadavOHTransplant Surgery Physician$172.2K$0
    Daniel GehlingOHAdult Reconstructive Orthopaedic Surgery Physician$166.5K$0
    Mark BuehlerOHDiagnostic Radiology Physician$164.7K$0

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