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    OpenPayerNPI Medicare & MedicaidHarold Agbahiwe
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    Harold Agbahiwe — Billing Profile & Reimbursement Data

    NPI 1073797460 · Fairfax, VA · Radiation Oncology Physician

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    Harold Agbahiwe is a radiation oncology physician provider located in Fairfax, Virginia. This profile covers 26 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
    OrganizationHarold Agbahiwe
    Address8613 Route 29 Ste 100n
    CityFairfax
    StateVA
    ZIP22031
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedDecember 21, 2007

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity drives the business: total Medicare revenue is $2.4M while Medicaid revenue is listed as none, so the practice is effectively single‑payer with Medicare exposure only. The absence of any Medicaid billing on file indicates limited participation in state Medicaid programs or that Medicaid services are billed by a different entity.

    Revenue is highly concentrated in a single product line: the top three Medicare codes account for 80.6% of Medicare revenue, led by A9607 at 68.9% ($1.7M). The next two codes by revenue are G6015 (8.4%, $202.1K) and G6012 (3.3%, $80.5K), confirming dependence on a small set of high‑revenue services.

    The code mix points to a radiation oncology practice centered on radiopharmaceutical therapy and external beam treatments: A9607 (Lutetium lu 177 vipivotide tetraxetan) accounts for the majority of dollars and is supported by high counts (8.4K claims, $197 avg paid/claim), while delivery and planning codes such as G6015, G6012, 77373, 77301 and 77427 show routine IMRT/SBRT and treatment‑delivery activity. This combination suggests the operation couples high‑value episodic radiopharmaceutical administrations with ongoing radiation planning and delivery services.

    Competitive standing is mixed by code: A9607 ranks #19 of 44 nationally (58th percentile), indicating a typical, unremarkable national volume for that highly revenue‑driving therapy rather than a dominant market position. Delivery codes G6015 (rank #670 of 1429, ~53rd percentile) and G6012 (rank #201 of 868, 77th percentile) show modest to relatively stronger presence regionally/nationally, so the provider is a modest participant overall with pockets of above‑typical activity.

    Several planning and physics services are relatively high versus peers, signaling a notable technical workload: 77290 and 77295 each rank in the 93rd percentile nationally with $36K and $27.9K in Medicare revenue respectively, and 77295 is explicitly flagged as "notably above typical national volume for this code." These elevated percentiles for simulation and 3D/volume dose planning suggest sustained investment in treatment planning and physics resources.

    Operational cadence appears to include both high‑volume, lower‑unit‑cost pharmacologic administrations and frequent technical sessions: A9607 shows 8.4K claims at $197 avg paid/claim, while multiple delivery and weekly physics consultation codes (e.g., 77336 with 257 claims, $82 avg paid/claim) reflect repeated treatment encounters per patient. That mix is consistent with a practice delivering serial radiation treatments alongside many radiopharmaceutical administrations.

    Tenure is long‑standing: the provider’s NPI was enumerated on 2007-12-21 (~19 years ago), indicating an established presence in the market that aligns with the breadth of planning and delivery codes billed. Long tenure combined with concentrated Medicare billing suggests an entrenched Medicare-focused practice model rather than a new entrant.

    While most high‑volume CPT/HCPCS entries are described as "typical, unremarkable volume," there are no clear extreme outliers or anomalous high‑percentile dominates beyond the planning/physics items; several common radiation codes (e.g., 77373, 77301, 77427) appear at typical national percentiles, reinforcing that the provider operates within expected national norms for a radiation oncology practice even though overall revenue is concentrated in A9607.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie8,400$200$1.7M
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session580$350$202.1K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev360$230$80.5K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…80$960$71.9K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…40$1,700$68.1K
    G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev260$230$58.3K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…240$170$39.6K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…80$430$36K
    77295Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…60$440$27.9K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.200$120$22.9K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96072108,400$220$2M
    G60151420780$290$262.7K
    7737391090$810$102.4K
    G6012310270$190$54K
    G6013510200$190$44.4K
    774275190260$150$41.1K
    770145980750$50$36.9K
    77301588050$620$35.3K
    773361320310$70$23.2K
    9921411,91912,890140$80$21K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory SibleyVARadiation Oncology Physician$2.5M$0
    Mitul GandhiVAHematology & Oncology Physician$1.9M$0
    Robert MarshVAHematology & Oncology Physician$1.6M$120
    Tejas SureshVAHematology & Oncology Physician$1.6M$0
    Samuel LeeVAHematology & Oncology Physician$1.6M$0
    Geoffrey MoorerVAHematology & Oncology Physician$1.4M$670
    Alina HuangVAHematology & Oncology Physician$1.4M$0
    Ajay DarVAMedical Oncology Physician$1.3M$0
    Jey MaranVAHematology & Oncology Physician$1.3M$0
    Chao YinVAHematology & Oncology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Kind & Caring Home Care,llcVAHome Health Agency$0$35.7M
    Alpha Home Care Services LLCVAHome Health Agency$0$32.2M
    Community Living Alternatives, Corp.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$31M
    Gateway Healthcare Services LLCVAHome Health Agency$0$22.1M
    Praise Home Health Services, IncVAHome Health Agency$0$22M
    Grace Home Healthcare, LLCVAHome Health Agency$0$20.5M
    Aloha Home Healthcare Services,llcVAHome Health Agency$0$13.1M
    Precious Care At Home Services IncVAHome Health Aide$0$12.5M
    Inova Health Care ServicesVAClinical Medical Laboratory$5.4M$6.8M
    Pediatric Specialists Of Virginia, LLCVAPediatrics Physician$0$11.3M

    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
    Harold Agbahiwe — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia