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

    NPI 1033180229 · Rogers, AR · Hematology & Oncology Physician

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    Daniel Bradford is a hematology & oncology physician provider located in Rogers, Arkansas. This profile covers 111 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 Bradford
    Address808 S 52nd St
    CityRogers
    StateAR
    ZIP72758
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJanuary 27, 2006

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue footprint is $2.8M while Medicaid billing is listed as none, making the practice effectively single‑payer with Medicare as the dominant source of public reimbursement. The absence of any Medicaid claims on file suggests a patient mix or contracting strategy that does not rely on Medicaid volume within the dataset provided.

    Revenue is highly concentrated in a few high-dollar items: the precomputed top‑3 Medicare codes account for 53.3% of this provider’s total Medicare revenue. Those top three are J9271 (15.8K claims, $663.6K revenue, 25.6% of Medicare revenue), 78815 (386 claims, $389.5K revenue, 15.0% of Medicare revenue), and J9299 (13.7K claims, $329.8K revenue, 12.7% of Medicare revenue).

    The code mix points to a hematology/oncology infusion practice that pairs high-cost immunotherapies with frequent advanced imaging. Large revenue and claim counts for J9271 (pembrolizumab), J9299 (nivolumab), J9144 (daratumumab) and other injectable oncology drugs indicate systemic therapy is a primary service line, while high utilization of 78815 and A9552 (FDG PET/CT and tracer dosing) shows imaging is integral to staging and treatment monitoring. The presence of 96413 (chemotherapy administration) and numerous lab panel codes further supports an integrated oncology care model that blends drug administration, diagnostic imaging, and routine lab monitoring.

    Competitive standing varies by service: for high‑cost imaging 78815 ranks #380 of 6566 providers nationally (94th percentile; notably above typical national volume), and A9552 ranks #78 of 2411 providers nationally (97th percentile; notably above typical national volume), indicating this provider is well above typical national activity in PET/CT services. By contrast, the top drug J9271 ranks #628 of 1841 providers (65th percentile; typical) and J9299 ranks #280 of 505 providers (45th percentile; typical), suggesting drug administration volumes are respectable but not uniformly dominant against national peers.

    Several diagnostic and procedural codes are statistical outliers, highlighting unusually high utilization of certain imaging and visit services. Codes flagged as "extreme outlier" such as 99215 (675 claims, $83.7K revenue; 99th percentile), 74178 (443 claims, $80.2K revenue; 100th percentile), and 70470 (186 claims, $15.3K revenue; 100th percentile) point to markedly elevated CT/MRI and high‑complexity office visit billing compared with national peers, which may reflect either an on‑site imaging capability, a referral pattern, or a concentration of complex oncology patients.

    Operationally, the practice’s revenue profile is driven by high-cost biologic and immunotherapy agents plus advanced imaging rather than volume of routine Medicaid services. With no Medicaid billing on file and top Medicare codes accounting for a majority of revenue, the practice may face payer concentration risk and should consider how payer mix, imaging capacity, and drug reimbursement trends could affect future revenue stability.

    The provider has an established enrollment history, with an NPI enumerated on 2006-01-27 (~20 years ago), indicating long tenure in the Medicare program. This longevity, combined with high utilization in selected imaging and oncology drug codes, suggests the provider is an experienced regional oncology practitioner with entrenched referral patterns in the Rogers, AR 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.

    111 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg15,800$40$663.6K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…390$1,010$389.5K
    J9299Injection, nivolumab, 1 mg13,740$20$329.8K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj6,660$40$253.1K
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg4,160$40$158.1K
    J0897Injection, denosumab, 1 mg6,360$20$114.5K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg2,520$40$90.7K
    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…680$120$83.7K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…440$180$80.2K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…80$1,020$78.2K

    Showing 1–10 of 111

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 111 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    111 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271294020,700$40$896.3K
    J9299203015,660$20$432.9K
    J914491010,530$40$361.9K
    J156111105,930$40$216.4K
    Q511514202,800$30$95.9K
    J0897411602,580$20$89.7K
    788151010090$550$83.7K
    Q51184102,110$20$64.3K
    J088541404,070$10$38K
    964133880380$90$36.6K

    Showing 1–10 of 111

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    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Hospital RogersARGeneral Acute Care Hospital$0$14.2M
    Mercy Health Northwest Arkansas CommunitiesARMulti-Specialty Clinic/Center$0$8.4M
    Eric SchaeferARHematology & Oncology Physician$3.6M$0
    St. Francis House Nwa, Inc.ARDental Clinic/Center$0$2.9M
    Northwest Arkansas Pediatric Dental CenterARPediatric Dentistry$0$2.5M
    Brian T Hyatt Md LLCARPsychiatry Physician$0$2.1M
    Mercy Hospital RogersARHome Health Agency$0$1.8M
    Harvey Pediatrics. PLLCARPediatrics Physician$0$1.8M
    Precision Surgical Center Of Northwest Arkansas, LLCARAmbulatory Surgical Clinic/Center$1.8M$0
    Michael GaroneARDermatology Physician$1.2M$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. Arkansas Distribution
    Daniel Bradford — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas