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    OpenPayerNPI Medicare & MedicaidGregory Maggass
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    Gregory Maggass — Billing Profile & Reimbursement Data

    NPI 1124093539 · Scottsdale, AZ · Radiation Oncology Physician

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    Gregory Maggass is a radiation oncology physician provider located in Scottsdale, Arizona. This profile covers 25 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
    OrganizationGregory Maggass
    Address9055 E Del Camino Dr
    CityScottsdale
    StateAZ
    ZIP85258
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedFebruary 20, 2006

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

    Payer SourceTotal Paid
    Medicare$4M
    Medicaid$0

    Key Findings

    Revenue concentration is highly concentrated in a single radiopharmaceutical: Total Medicare revenue of $4M is driven overwhelmingly by A9607, which accounts for $3.5M (85.4% of the provider’s Medicare revenue) and is one of the precomputed top‑3 codes that together represent 92.4% of Medicare revenue. This level of concentration indicates that the provider’s Medicare financial performance is largely dependent on reimbursement and utilization of A9607.

    Service-line profile shows a combined radiopharmaceutical and advanced external-beam practice: A9607 (Lutetium lu 177 vipivotide tetraxetan) dominates revenue ($3.5M; 17.9K claims), while G6015 (707 claims, $191.6K) and 77301 (66 claims, $90.6K) indicate active use of intensity-modulated and advanced treatment delivery techniques. The mix of a high-volume Lu‑177 therapeutic code with IMRT planning/delivery codes and stereotactic-related codes (G0340, G0339) suggests an operation that pairs systemic radiopharmaceutical therapy with complex external-beam radiation services.

    Payer mix is effectively single-payer Medicare: the profile shows Total Medicare revenue of $4M and no Medicaid billing on file, so this provider operates with Medicare as the primary (and only recorded) public payer. Analysts should treat Medicaid exposure as nil in in‑state peer comparisons and focus competitive and utilization analysis on Medicare dynamics.

    Competitive standing is strong for the lead radiopharmaceutical code but modest or typical across most external-beam codes: A9607 ranks #7 of 44 nationally (86th percentile; described as typical, unremarkable volume for this code), making the provider one of the higher-ranked users nationally for that drug while still falling within peer expectations. By contrast, G6015 ranks #560 of 1429 (61th percentile; typical, unremarkable volume) and 77301 ranks #676 of 3815 (82th percentile; typical, unremarkable volume), indicating more routine national standing across IMRT and delivery codes.

    Tenure is long-standing: the NPI was enumerated on 2006-02-20 (~20 years ago), which supports interpretation of these billing patterns as the output of an established practice rather than a recent entrant. Longevity may influence referral relationships and capacity to deliver high-cost radiopharmaceutical therapies at scale.

    There are specific statistical outliers in non-radiopharmaceutical services that warrant attention: 99205 (91 claims, $14.8K revenue) ranks #3999 of 66257 providers nationally (94th percentile) and is labeled notably above typical national volume, indicating above-average high-complexity new patient E&M billing relative to peers. Conversely, several procedure codes (e.g., G0340 at rank #99 of 122, 17th percentile; G6012 at rank #716 of 868, 17th percentile) are characterized as typical or low relative volumes, showing mixed intensity across technical service lines.

    Operational risk and business implications from drug dependence: with A9607 constituting $3.5M of the $4M Medicare total, any change in access, reimbursement, or clinical guidelines for Lutetium lu 177 vipivotide tetraxetan would likely have outsized impact on revenue. Contracting, inventory management, and payer policy monitoring for this specific radiopharmaceutical should be prioritized in payer-provider negotiations and utilization management.

    Presence of niche or unique billing events suggests occasional diverse procedures: small-volume but distinctive codes appear in the profile (for example, 67120: 12 claims, $5.1K revenue, ranks #1 of 1 nationally with no peer comparison available), plus single-session radiosurgery codes (G0339, 11 claims, $9.7K). These entries point to episodic, specialized services beyond the core Lu‑177 treatments that may reflect either ancillary capabilities or rare casework rather than a major revenue stream.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie17,900$190$3.5M
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session710$270$191.6K
    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…70$1,370$90.6K
    77014N/A750$90$68.7K
    G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through…40$1,130$41.6K
    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…200$150$29.8K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…80$350$27.6K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…280$70$18.4K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…320$50$15.9K
    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…90$160$14.8K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96071105,680$190$1.4M
    G60153960870$280$256.2K
    G0340202070$1,130$105.5K
    7701439100640$80$61.9K
    773012810050$1,030$55.6K
    G60124040220$180$48.9K
    G60171320240$90$30.6K
    7742750120180$150$29.2K
    G0339162020$900$27.8K
    773382410060$300$17.2K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cory HealAZRadiation Oncology Physician$2.6M$0
    Jason SamuelianAZRadiation Oncology Physician$2.1M$0
    Barry SadegiAZDiagnostic Radiology Physician$1.8M$0
    Anjaly CurleyAZDiagnostic Radiology Physician$1.7M$0
    Eric KovalskyAZDiagnostic Radiology Physician$1.5M$0
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Vijitha ReddyFLDiagnostic Radiology Physician$1.5M$0
    Elizabeth JeansAZRadiation Oncology Physician$1.3M$0
    Daniel ReedAZRadiation Oncology Physician$1.3M$0
    Apar GuptaAZRadiation Oncology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dependable Nurses Of Phoenix, LLCAZHome Health Agency$0$49.4M
    Community Medical Services Montana-private, LLCAZAddiction (Substance Use Disorder) Counselor$0$43.2M
    Scottsdale Physicians Group PlcAZInternal Medicine Physician$0$17.7M
    Desert Tranquility Integrated Wellness Services LLCAZMental Health Clinic/Center (Including Community Mental Health Center)$0$16.8M
    Arizona Pulmonary Specialists LtdAZPulmonary Disease Physician$0$15.1M
    Scottsdale Recovery Ii, LLCAZSubstance Abuse Rehabilitation Facility$0$13.7M
    Arbor Medical Partners, LLCAZPediatrics Physician$0$12.7M
    Purpose Healing Center, LLCAZSubstance Use Disorder Rehabilitation Clinic/Center$0$11.5M
    Purpose Healing Center, LLCAZSubstance Use Disorder Rehabilitation Clinic/Center$0$11.1M
    Texan Urgent Care PLLCAZEmergency Medicine Physician$0$8.5M

    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. Arizona Distribution
    Gregory Maggass — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona