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    OpenPayerNPI Medicare & MedicaidFrederick Briccetti
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    Frederick Briccetti — Billing Profile & Reimbursement Data

    NPI 1063406932 · Concord, NH · Hematology & Oncology Physician

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    Frederick Briccetti is a hematology & oncology physician provider located in Concord, New Hampshire. This profile covers 31 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
    OrganizationFrederick Briccetti
    Address250 Pleasant Street
    CityConcord
    StateNH
    ZIP03301
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedSeptember 7, 2005

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

    Payer SourceTotal Paid
    Medicare$861.3K
    Medicaid$0

    Key Findings

    This provider’s billings are effectively single‑payer: lifetime Medicare revenue is $861.3K and there is no Medicaid billing on file, so Medicare accounts for all reported public‑payer activity. The top 3 Medicare codes account for 89.0% of this provider’s total Medicare revenue, indicating a highly concentrated Medicare revenue base.

    One code overwhelmingly drives revenue: J9271 (Injection, pembrolizumab, 1 mg) accounts for $672K of Medicare revenue (78.4% of the provider’s Medicare total) on 16K claims with an average paid/claim of $42. The reliance on a single drug code for the majority of revenue means changes in usage patterns or reimbursement for pembrolizumab would materially affect overall revenue.

    The code mix is consistent with an infusion‑based hematology/oncology practice: high revenue from J9271 plus meaningful chemotherapy administration codes such as 96413 (301 claims, $32.5K revenue) and office infusion initiation G0498 (62 claims, $13.3K revenue) indicate in‑office delivery of systemic cancer therapies and occasional coordination of home/portable pump infusions. This mix supports a service line focused on immunotherapy and conventional IV chemotherapy rather than primarily clinic‑based procedural work.

    Although J9271 dominates revenue, the provider’s competitive standing on that code is middling nationally: J9271 ranks #614 of 1841 providers (66th percentile) and is described as typical, unremarkable volume for this code. Other top codes show a similar pattern of being active but not market‑leading: 99214 ranks #36103 of 479517 (92th percentile) and 96413 ranks #1835 of 7514 (75th percentile), each labeled typical, unremarkable volume for the code. Overall, this suggests a solid local practice footprint without national dominance for its highest‑revenue services.

    Several support and antiemetic drug codes have high claim counts but low per‑claim revenue, implying standard supportive care workflows: J0640 shows 938 claims for $2.8K revenue ($3 avg paid/claim) and J2469 shows 1.1K claims for $1.1K revenue ($1 avg paid/claim). These patterns are consistent with routine co‑administered agents and supportive medications being dispensed alongside higher‑value oncology drugs.

    Operationally, the provider shows a full spectrum of oncology E/M and infusion codes: office E/M codes 99214 (595 claims, $57.7K) and 99213 (408 claims, $27.7K) appear among top revenue drivers, and multiple add‑on and infusion codes (96417, 96415, 96367, 96375) are reported. This mix signals ongoing ambulatory management of established cancer patients with repeated infusion encounters rather than predominantly new patient consult volume.

    Tenure data indicate an established presence: the NPI was enumerated on 2005-09-07 (~21 years ago), which aligns with a long‑standing clinical practice likely supported by stable referral relationships for oncology care. That longevity, combined with concentrated Medicare revenue, suggests entrenched practice patterns that would be sensitive to local referral shifts or payer contracting changes.

    Because 89.0% of Medicare revenue is concentrated in the top three codes, and a single drug code (J9271) comprises 78.4% of Medicare revenue, this profile represents a concentration risk for revenue volatility: policy, pricing, or utilization changes targeted at pembrolizumab or its administration could disproportionately affect the provider’s Medicare income. Monitoring national reimbursement trends and utilization metrics for J9271 and associated chemotherapy administration codes is therefore advisable.

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg16,000$40$672K
    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…600$100$57.7K
    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…300$110$32.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…410$70$27.7K
    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…120$130$15.8K
    G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…60$220$13.3K
    96367The 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…180$20$4.4K
    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…80$50$4.2K
    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…30$160$4.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$40$3.1K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927121010,000$40$440.2K
    96413420140$100$15.8K
    992141303,150110$80$13.2K
    9923343160070$90$10.9K
    G049811050$220$10.6K
    9923271699070$60$9.8K
    992131492,90070$50$6.9K
    992151351,08040$110$6.8K
    9920520844020$140$4.9K
    992041,0091,34030$100$4.6K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxwell EliaNHOphthalmology Physician$2.3M$0
    Ahad FazelatNHOphthalmology Physician$2.1M$0
    Anthony CorrentiNHOphthalmology Physician$1.5M$0
    Gina DivenutiNHHematology & Oncology Physician$1M$0
    Josy MathewNHHematology & Oncology Physician$452.4K$0
    Anthony SquillaroNJThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$415.6K$0
    Peter CrowNHHematology & Oncology Physician$415.1K$0
    Michael BuffNHHematology & Oncology Physician$387.2K$0
    Kimberly LicciardiNHOphthalmology Physician$331.8K$0
    Jason HallNHOphthalmology Physician$295.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community BridgesNHCase Management Agency$0$265.5M
    Riverbend Community Mental Health, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$118.4M
    Granite State Independent LivingNHIn Home Supportive Care Agency$0$74.7M
    Ascentria Community Services, IncNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$52.6M
    Ascentria Community Care, IncNHVoluntary or Charitable Agency$0$50.3M
    Concord Hospital, Inc.NHGeneral Acute Care Hospital$0$28.8M
    Concord Pediatric DentistryNHPediatric Dentistry$0$13.6M
    New England Life Care, Inc.NHHome Infusion Therapy Pharmacy$0$11.4M
    New Hampshire Home Care Providers LLCNHIn Home Supportive Care Agency$0$11M
    Brain Injury Association Of NhNHCase Management 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. New Hampshire Distribution
    Frederick Briccetti — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire