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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAkgun Ince
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    Akgun Ince — Billing Profile & Reimbursement Data

    NPI 1053372334 · Saint Louis, MO · Rheumatology Physician

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    Akgun Ince is a rheumatology physician provider located in Saint Louis, Missouri. This profile covers 23 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
    OrganizationAkgun Ince
    Address522 N New Ballas Rd
    CitySaint Louis
    StateMO
    ZIP63141
    TaxonomyRheumatology Physician
    NPI EnumeratedMarch 28, 2006

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the available data: total Medicare revenue is $2.1M while there is no Medicaid billing on file, indicating Medicare drives the entirety of billed public-payer activity reported here. That concentration means Medicare reimbursement policy and Part B drug coverage are the primary determinants of the provider’s public-revenue performance.

    Revenue is highly concentrated in a small set of biologic drug codes: the precomputed top three Medicare codes account for 79.1% of this provider's total Medicare revenue, led by J0129 (25.7K claims, $34 avg paid/claim, $872.1K revenue, 40.9%), J1745 (21.8K claims, $26 avg paid/claim, $566.8K revenue, 26.6%), and J3262 (62K claims, $4 avg paid/claim, $248.2K revenue, 11.6%). This concentration shows the practice’s revenue base is dominated by a handful of infused biologic therapies rather than distributed across many evaluation-and-management or ancillary services.

    The mix of leading codes points to an infusion‑centric rheumatology practice: J0129 (abatacept), J1745 (infliximab), and J3262 (tocilizumab) are biologic infusions commonly used in inflammatory and autoimmune disease management, and the taxonomy is Rheumatology Physician. Combined with high utilization of infusion administration codes elsewhere on the profile, the operation appears oriented toward in‑office supervised infusion services rather than primarily office‑visit revenue.

    On competitive standing, the provider is a national high-volume outlier for certain drugs: J1745 ranks #14 of 1352 providers nationally (99th percentile; extreme outlier), and J0129 ranks #73 of 1221 (94th percentile; notably above typical national volume). By contrast, J3262 ranks #164 of 618 (74th percentile; typical, unremarkable volume), indicating the practice is a major national player for infliximab and above‑typical for abatacept but only a routine participant for tocilizumab at the national level.

    Infusion-service intensity is further underscored by procedure-level rankings: 96415 (the add-on code for each additional infusion hour) appears with $10.7K revenue and ranks #53 of 4959 providers nationally (99th percentile; extreme outlier), while 96365 (initial IV infusion) ranks #431 of 8873 (95th percentile). These high-percentile positions for infusion administration and extended-infusion add-ons suggest frequent, prolonged in‑office infusion sessions are a material part of how care is delivered and reimbursed.

    Clinical evaluation-and-management activity generates a small share of Medicare revenue relative to biologics: 99214 accounts for $44.1K (2.1% of Medicare revenue) and 99213 for $4.7K (0.2%). This imbalance indicates the practice’s financial model is drug- and infusion-centered, with visit-level E/M billing representing a minor component of reported Medicare receipts.

    The provider has an established tenure in Medicare billing, with an NPI enumerated on 2006-03-28 (~20 years ago), which supports an interpretation of long-standing local market presence and operational continuity. That longevity combined with very high drug-administration volumes suggests an experienced infusion service line rather than a recent program expansion.

    The heavy reliance on a few biologic drugs creates strategic sensitivity: with 79.1% of Medicare revenue tied to the top three codes and J1745 explicitly billed as the non‑biosimilar infliximab formulation, the provider’s revenue could be materially affected by shifts in drug selection, biosimilar uptake, or payer coverage changes. Additionally, having no Medicaid billing on file means the practice lacks Medicaid diversification and is exposed to Medicare policy or market shifts without offset from state‑payer volumes.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)25,650$30$872.1K
    J1745Injection, infliximab, excludes biosimilar, 10 mg21,800$30$566.8K
    J3262Injection, tocilizumab, 1 mg62,040$1$248.2K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)43,600$1$174.4K
    J1602Injection, golimumab, 1 mg, for intravenous use10,600$10$116.6K
    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…520$90$45.1K
    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…500$90$44.1K
    96365The 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.490$50$22.4K
    96415In 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…560$20$10.7K
    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…40$160$6.6K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012942010,880$30$443.6K
    J1602142013,150$10$266.8K
    J0717101061,500$1$259.7K
    J326261040,980$1$236.8K
    J17451403,060$30$118.1K
    9641317160140$100$19.1K
    992147048,960100$80$13.9K
    992133,9908,73070$50$7K
    992042,2444,36030$100$4.8K
    992052601,01020$140$4.7K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amanda DehlendorfMOInternal Medicine Physician$970.8K$0
    Joseph StauberMORheumatology Physician$374.6K$0
    Leanna ScheidemantelMONurse Practitioner$38.2K$0
    Elaine ZobristMOAdult Health Nurse Practitioner$37.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Hospitals East CommunitiesMOGeneral Acute Care Hospital$0$56.5M
    Bayada Home Health Care, Inc.MOHome Health Agency$0$41.2M
    Mercy Clinic East CommunitiesMOInternal Medicine Physician$0$22.2M
    Excel Home Care, Inc.MOHome Health Agency$0$19.8M
    Biotech X-ray IncMOPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$5.1M$6M
    Western Anesthesiology Associates, Inc.MOAnesthesiology Physician$0$10.9M
    Team Select Home Care Of Missouri, Inc.MONursing Care Agency$0$10.7M
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$9.8M
    Sensory Solutions, LLCMOOccupational Therapist$0$7.3M
    Excel Home Care, Inc.MOHome Health Agency$0$6.2M

    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. Missouri Distribution
    Akgun Ince — 7 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri