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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Mccusker
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    Michael Mccusker — Billing Profile & Reimbursement Data

    NPI 1043605975 · Winchester, VA · Hematology & Oncology Physician

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    Michael Mccusker is a hematology & oncology physician provider located in Winchester, Virginia. This profile covers 58 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
    OrganizationMichael Mccusker
    Address400 Campus Blvd Ste 100
    CityWinchester
    StateVA
    ZIP22601
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 30, 2015

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    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.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg15,550$40$653.1K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj7,740$40$294.1K
    J0897Injection, denosumab, 1 mg5,220$20$94K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg2,080$30$70.7K
    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…480$130$61.1K
    J1627Injection, granisetron, extended-release, 0.1 mg10,700$10$53.5K
    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…440$100$43.1K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg1,160$20$27.8K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg340$80$26.5K
    J1437Injection, ferric derisomaltose, 10 mg1,400$20$23.8K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92713711012,800$40$610.9K
    J914430608,280$40$332.7K
    J0897913402,820$20$89.3K
    J156815301,990$30$81.8K
    Q51187101,780$20$53.8K
    J143710201,500$20$33.1K
    J25061940360$80$31.2K
    9641345230250$100$28.5K
    J921793130140$130$23.9K
    992149,73612,890140$80$21K

    Showing 1–10 of 58

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maryland Family Care, Inc.MDFamily Medicine Physician$0$24.6M
    Michael MorrisMDDiagnostic Radiology Physician$12M$0
    Richard IngramVAHematology & Oncology Physician$1.7M$0
    William HouckVAHematology & Oncology Physician$1.7M$0
    Matthew JonesVAHematology & Oncology Physician$1.3M$0
    Lee RestaVAHematology & Oncology Physician$1.1M$0
    Lindsey Morgan O'brienVAHematology & Oncology Physician$828K$0
    Christian BarlowVAHematology & Oncology Physician$680.9K$0
    Kristine ReedVAHematology & Oncology Physician$470.7K$0
    Vinod VarkiNYHematology & Oncology Physician$388.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grafton School, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$92M
    Winchester Medical CenterVAGeneral Acute Care Hospital$0$69.9M
    Grafton School IncVAPsychiatric Residential Treatment Facility$0$33M
    Shenandoah Valley Community Residences, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.4M
    Compassionate Home CareVAIn Home Supportive Care Agency$0$14.5M
    Nova Family Services, Inc.VAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$13.5M
    Uncle Sam Transportation LLCVATaxi$0$12M
    National Counseling Group, IncVAMental Health Counselor$0$11.2M
    Pediatrix Medical Group PCVANeonatal-Perinatal Medicine Physician$0$10.8M
    Winchester Medical CenterVAObstetrics & Gynecology Physician$0$10M

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