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    OpenPayerNPI Medicare & MedicaidDaniel Lavie
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    Daniel Lavie — Billing Profile & Reimbursement Data

    NPI 1023374659 · Baton Rouge, LA · Hematology & Oncology Physician

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    Daniel Lavie is a hematology & oncology physician provider located in Baton Rouge, Louisiana. This profile covers 36 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
    OrganizationDaniel Lavie
    Address4950 Essen Ln Ste 500
    CityBaton Rouge
    StateLA
    ZIP70809
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 9, 2012

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer: lifetime Medicare revenue is $1.1M and there is no Medicaid billing on file, so all observed claims activity and revenue are concentrated in the Medicare program. Analysts should treat Medicaid market dynamics as irrelevant for this individual when modeling payer mix or access to low-income populations.

    Revenue concentration is high and dominated by a handful of drugs: the top 3 Medicare codes by revenue account for 76.1% of the provider's total Medicare revenue, driven primarily by J9299 (59.8% of Medicare revenue) plus J1449 and one high-level E/M code. This indicates the practice’s Medicare income depends heavily on a small set of therapeutic products and a high-intensity office visit code.

    Clinical and service-line profile: the code mix (large volumes of J9299 nivolumab injections, J1449 eflapegrastim, and chemotherapy administration codes such as 96413 and 96417) is consistent with an outpatient hematology/oncology infusion practice that provides immunotherapy and supportive oncology drugs alongside E/M visits. The presence of high-volume drug administration codes suggests the practice operates a treatment/infusion setting rather than solely consultative care.

    Competitive standing on J9299: the provider’s J9299 activity ($665.7K, 28.9K claims) ranks #85 of 505 nationally (83th percentile), which places the provider in a typical, unremarkable national volume band for nivolumab rather than as a top national aggregator. Despite the large share of this provider’s revenue coming from J9299, the rank suggests many peers deliver similar or greater volumes.

    E/M utilization is unusually high for office visit intensity: 99215 accounts for $82K (7.4% of Medicare revenue) and ranks #1055 of 145531 providers nationally (99th percentile) and 99214 also ranks notably high at the 96th percentile. These descriptors (extreme outlier for 99215; notably above typical for 99214) indicate the provider bills a substantially higher-than-typical volume of high-complexity outpatient E/M visits compared with national peers, consistent with ongoing management of complex oncology patients.

    Specialty-supportive drugs and infusion add-ons show typical participation: codes such as J2506 (pegfilgrastim) and 96413 (chemotherapy infusion) fall in percentiles described as typical or unremarkable (82th and 86th percentiles respectively), indicating the provider’s use of supportive growth factors and chemotherapy administration is within normal bounds for oncology peers rather than an outlier. These codes together diversify revenue beyond the dominant immunotherapy line item.

    Tenure and experience: the NPI was enumerated on 2012-04-09 (~14 years ago), indicating over a decade in Medicare billing which supports interpreting current patterns as established practice behavior rather than early-career volatility. This longevity, combined with concentrated drug revenue, suggests a stable oncology infusion operation.

    Operational implication for payers and network managers: given the concentration of Medicare revenue in high-cost injectable oncology drugs and high-complexity E/M visits, payers should expect this provider to be materially important for outpatient oncology drug delivery in Baton Rouge but not a national leader on nivolumab. Contracting or utilization management efforts should focus on drug acquisition, infusion capacity, and high-intensity visit utilization patterns rather than primary-care or Medicaid-oriented 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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9299Injection, nivolumab, 1 mg28,940$20$665.7K
    J1449Injection, eflapegrastim-xnst, 0.1 mg3,830$30$99.5K
    99215The provider sees an established 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…630$130$82K
    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…800$90$70.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg680$90$62.2K
    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…420$90$38.2K
    J1439Injection, ferric carboxymaltose, 1 mg23,250$1$23.3K
    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…50$160$8.5K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…180$50$8.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$90$6.9K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J929921039,670$20$929.9K
    J14491103,830$30$98.6K
    J349082050$620$49.1K
    J2506110400$80$38.2K
    964131170140$90$22.8K
    J143961023,630$1$20.1K
    992142916,670110$80$16.5K
    992321,4782,58090$60$13.3K
    992339242,01070$90$12.3K
    99215131,65040$110$8.4K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary Bird Perkins Cancer CenterLAClinical Medical Laboratory$64.4K$8.4M
    Jack SauxLAHematology & Oncology Physician$2.8M$0
    Barry CharnickFLNuclear Radiology Physician$1.3M$0
    Bryan BienvenuLAHematology & Oncology Physician$964.2K$0
    Manish DhawanLAHematology & Oncology Physician$870.9K$24.3K
    Jingya WangLARadiation Oncology Physician$856.4K$0
    Andrew ElsonLARadiation Oncology Physician$825.1K$0
    Gregory HenkelmannLARadiation Oncology Physician$754.9K$0
    Konstantin KovtunLARadiation Oncology Physician$709K$0
    Jose RodriguezFLDiagnostic Radiology Physician$659.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prescribed Pediatric Extended Care, IncLAMedically Fragile Infants and Children Day Care$0$40.3M
    Cognitive Development Center Of Baton RougeLAMental Health Clinic/Center (Including Community Mental Health Center)$0$29M
    Baton Rouge General Medical CenterLAGeneral Acute Care Hospital$0$24.3M
    Serenity Treatment Center Of Louisiana LLCLASubstance Abuse Rehabilitation Facility$0$22.4M
    Special Needs Unlimited, L.L.C.LADevelopmental Disabilities Clinic/Center$0$22.4M
    Caregiver Homes Of Louisiana, IncLACase Management Agency$0$15.9M
    Baton Rouge Treatment Center, LLCLAMethadone Clinic$139.4K$13.5M
    Leading Health Care Of La, Inc.LAIn Home Supportive Care Agency$0$12.8M
    Alliance Care LLCLAIn Home Supportive Care Agency$0$12.3M
    Hometown Senior Care LLCLAIn Home Supportive Care Agency$0$11M

    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. Louisiana Distribution
    Daniel Lavie — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana