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NPI 1053330993 · Urbana, IL · Hematology & Oncology Physician
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James Egner is a hematology & oncology physician provider located in Urbana, Illinois. This profile covers 12 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Egner |
| Address | 509 W. University Ave |
| City | Urbana |
| State | IL |
| ZIP | 61801 |
| Taxonomy | Hematology & Oncology Physician |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $76.5K |
| Medicare | $62.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 420 | $90 | $36.1K |
| 96413 | Chemotherapy 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… | 80 | $100 | $8K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 150 | $50 | $7.1K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 280 | $10 | $3K |
| 99204 | The provider sees a new 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 provider… | 30 | $110 | $2.8K |
| 96415 | In 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 each additional hour of infusion beyond the… | 70 | $20 | $1.5K |
| 36591 | The provider collects a blood specimen from a completely implantable venous access device that he placed in a prior procedure. | 70 | $20 | $1.3K |
| 96367 | The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose… | 50 | $20 | $1.2K |
| 96366 | The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease. | 60 | $20 | $920 |
| J7030 | Infusion, normal saline solution , 1000 cc | 140 | $1 | $280 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 96413 | 228 | 370 | 130 | $100 | $19.3K |
| 99214 | 2,516 | 18,540 | 110 | $80 | $17.1K |
| 96365 | 126 | 410 | 90 | $50 | $6.6K |
| 99204 | 5,095 | 8,580 | 30 | $110 | $5.6K |
| 96367 | 165 | 220 | 90 | $20 | $4K |
| 96415 | 129 | 240 | 80 | $20 | $2.3K |
| 96366 | 106 | 140 | 90 | $20 | $2K |
| 96372 | 134 | 1,520 | 60 | $10 | $1.2K |
| 36591 | 16 | 50 | 40 | $20 | $1K |
| J7030 | 22 | 190 | 50 | $1 | $140 |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 2,220 | $30 | $75.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 60 | $20 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 1,499 | 14,680 | 300 | $50 | $48.7K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 3,609 | 4,800 | 210 | $30 | $29.3K |
Other providers in the same ZIP code as James Egner, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Carle Foundation Hospital | IL | General Acute Care Hospital | $0 | $8.3M |
| Osf Healthcare System | IL | Land Ambulance | $0 | $5.2M |
| Aashish Gandhi | IL | Ophthalmology Physician | $1.7M | $54.1K |
| Yujie Zhao | IL | Hematology & Oncology Physician | $1.1M | $13.7K |
| Sami Sibai | IL | Diagnostic Radiology Physician | $184.8K | $846.8K |
| Jeremy Youse | IL | MOHS-Micrographic Surgery Physician | $993.9K | $15.1K |
| Abdel-moneim Attia | IL | Nephrology Physician | $297.4K | $582.1K |
| Leanne Labriola | IL | Ophthalmology Physician | $726.1K | $108.2K |
| Vikas Patel | IL | Dermatology Physician | $705.9K | $0 |
| Yongsoo Kwon | IL | Surgery Physician | $591.8K | $28.1K |
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