Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Eric Avery (NPI 1093934598)

Field	Value
Entity Type	Individual
Organization	Eric Avery
Address	4004 Pioneer Woods Dr
City	Lincoln
State	NE
ZIP	68506
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	April 24, 2007

Payer Source	Total Paid
Medicare	$3.1M
Medicaid	$0

Key Findings

This provider’s Medicare activity dominates its public-payer profile: total Medicare revenue is $3.1M while Medicaid revenue is listed as none, so ERIC AVERY is effectively a single-payer (Medicare) billing entity. The NPI was enumerated on 2007-04-24 (~19 years ago), indicating long tenure and an established billing history with Medicare.

Revenue is highly concentrated in a small set of oncology biologics: the precomputed top 3 codes account for 60.8% of total Medicare revenue, driven by J9271 ($1M, 34.9% of Medicare revenue), J9144 ($430.9K, 14.7%), and J9299 ($327.8K, 11.2%). This concentration means a few high-cost injectable oncology agents make up the majority of billed Medicare dollars.

The code mix signals an infusion-centered hematology/oncology practice: high-revenue oncology injections J9271, J9144, and J9299 are prominent alongside administration codes such as 96413, 96365 and add-on 96417, and supportive-care agents like J1569 (immune globulin, $306.4K). Presence of chemotherapy administration and multiple IV infusion codes indicates the provider operates significant onsite infusion services rather than solely office consultations.

Competitive standing on key biologics is mixed: J9271 ranks #252 of 1841 providers nationally (86th percentile; typical, unremarkable volume for this code), J9144 ranks #167 of 615 (72th percentile; typical, unremarkable volume for this code), and J9299 ranks #282 of 505 (44th percentile; typical, unremarkable volume for this code). These ranks suggest ERIC AVERY is an established but not dominant national player for pembrolizumab and daratumumab, and a more modest participant for nivolumab.

Several non-drug services show above-typical volume versus national peers: office E/M codes 99214 (727 claims, $66.9K; ranks in the 95th percentile, described as notably above typical national volume) and 99215 (279 claims, $37.4K; 95th percentile, notably above typical national volume) indicate substantial office-based follow-up and care coordination activity. High-percentile lab and specimen codes such as 80053 (1.7K claims, $17.4K; 97th percentile) and 85025 (2.1K claims, $16.6K; 97th percentile) reinforce that routine labs are being billed at rates well above typical national volumes for peers.

Infusion sequencing and IV-push procedures are another standout: 96375 (877 claims, $9.6K) ranks in the 96th percentile and is labeled notably above typical national volume, reflecting frequent sequential IV medication administrations consistent with combination or supportive infusions in oncology practice. This operational pattern aligns with the heavy use of biologic agents and supportive meds (e.g., pegfilgrastim codes Q5108/Q5115/Q5130 and epoetin biosimilars) in the billing mix.

The provider’s financial exposure is concentrated in branded immuno-oncology agents and a few supportive-care injectables: J9271 alone accounts for $1M of the $3.1M Medicare total and, together with J9144 and J9299, makes up 60.8% of Medicare revenue. That profile creates sensitivity of Medicare revenue to utilization or coverage shifts for a small number of high-revenue drug codes, which is an important consideration for payer contracting and utilization management.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

97 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	23,800	$40	$1M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	11,340	$40	$430.9K
J9299	Injection, nivolumab, 1 mg	13,660	$20	$327.8K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	8,510	$40	$306.4K
J0897	Injection, denosumab, 1 mg	10,020	$20	$190.4K
Q5115	Injection, rituximab-abbs, biosimilar, (truxima), 10 mg	2,900	$30	$98.4K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	800	$100	$76.4K
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…	730	$90	$66.9K
Q5118	Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg	2,540	$20	$58.4K
J1439	Injection, ferric carboxymaltose, 1 mg	57,000	$1	$57K

Showing 1–10 of 97

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 97 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Eric Avery — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

97 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	4	30	14,400	$40	$671.6K
J9299	11	10	19,300	$20	$444.5K
J9144	5	10	10,440	$40	$434.6K
J1569	2	10	5,980	$40	$224.3K
Q5115	1	10	1,920	$30	$73.4K
Q5118	2	10	2,540	$20	$66.9K
J0897	14	200	2,040	$20	$62.7K
J2506	1	20	460	$90	$40.5K
Q5130	3	10	170	$160	$36.8K
Q5108	4	10	410	$90	$35.7K

Showing 1–10 of 97

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
The Physician Network	NE	Family Medicine Physician	$0	$3.1M
Kailash Mosalpuria	NE	Hematology & Oncology Physician	$2.9M	$0
Chi Health Clinic Specialty, LLC	NE	Hospitalist Physician	$0	$2.6M
Madhu Midathada	NE	Hematology & Oncology Physician	$2.3M	$0
Sakeer Hussain	IA	Hematology & Oncology Physician	$1.9M	$0
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Haris Zahoor	TX	Medical Oncology Physician	$1.6M	$0
Wallace Peterson	NE	Hematology & Oncology Physician	$1.5M	$0
Irfan Vaziri	NE	Medical Oncology Physician	$1.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Medical Center	NE	General Acute Care Hospital	$0	$56.9M
Integrated Behavioral Health Services	NE	Community/Behavioral Health Agency	$0	$16.3M
Nebraska Emergency Medicine PC	NE	Emergency Medicine Physician	$0	$14.9M
Firstcare Home Health Of Eastern Nebraska, Inc	NE	Home Health Agency	$0	$6.6M
Matthew Wood	NE	Ophthalmology Physician	$3.9M	$0
Daniel Chruscicki	NE	Ophthalmology Physician	$3M	$0
Integrated Cardiology Group LLC	NE	Cardiovascular Disease Physician	$0	$2.7M
Pathology Medical Services PC	NE	Anatomic Pathology & Clinical Pathology Physician	$0	$2.1M
Rockledge Smiles LLC	NE	General Practice Dentistry	$0	$2.1M
Eye Surgical Associates, LLC	NE	Ophthalmology Physician	$0	$1.7M

Eric Avery — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References