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    OpenPayerNPI Medicare & MedicaidJames Uyeki
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    James Uyeki — Billing Profile & Reimbursement Data

    NPI 1124187927 · Austin, TX · Medical Oncology Physician

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    James Uyeki is a medical oncology physician provider located in Austin, Texas. This profile covers 97 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
    OrganizationJames Uyeki
    Address4101 James Casey St Ste 100
    CityAustin
    StateTX
    ZIP78745
    TaxonomyMedical Oncology Physician
    NPI EnumeratedDecember 7, 2006

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

    Payer SourceTotal Paid
    Medicare$6.7M
    Medicaid$0

    Key Findings

    This provider is effectively an oncology infusion practice driven by high-volume immune checkpoint inhibitors and monoclonal antibodies: the top three Medicare revenue codes are J9271 (pembrolizumab) with 67.7K claims, $43 avg paid/claim, $2.9M revenue (45.4%); J9299 (nivolumab) with 55K claims, $24 avg paid/claim, $1.3M revenue (20.6%); and J9144 (daratumumab) with 24.1K claims, $38 avg paid/claim, $916.6K revenue (14.3%). Together these three codes account for 80.2% of the provider's Medicare revenue, indicating the practice’s service line is highly concentrated in high-cost oncology biologics and immunotherapy.

    Revenue concentration is extreme: the precomputed top-3 share of 80.2% shows most Medicare dollars come from a very small set of drugs, with J9271 alone representing $2.9M (45.4%) of the $6.7M total Medicare revenue. This concentration suggests the provider’s financial performance is highly sensitive to utilization and reimbursement changes for a few specific agents.

    The provider’s competitive standing on key agents is national-scale and heavily skewed: J9271 ranks #6 of 1841 providers nationally (100th percentile; extreme outlier) and J9299 ranks #7 of 505 providers nationally (99th percentile; extreme outlier), indicating this clinician is a major national billing outlier for checkpoint inhibitor administration. J9144 ranks #32 of 615 providers nationally (94th percentile; notably above typical national volume), so the practice also sits well above peers for other high-cost oncology infusions.

    Administration and infusion throughput measures reinforce a high-volume infusion operation: chemotherapy administration code 96413 shows 1.2K claims, $107 avg paid/claim, $126.8K revenue and ranks #37 of 7514 providers nationally (100th percentile; extreme outlier), while add-on and follow-up infusion codes such as 96417 (307 claims) and 96367 (846 claims) rank in very high percentiles. These high percentiles for administration codes are consistent with a practice that both prescribes and delivers complex parenteral oncology therapies on-site.

    The mix of supportive and ancillary drug codes—J2506 (pegfilgrastim, 972 claims), J0897 (denosumab, 15K claims), and J1568 (immune globulin, 5.7K claims)—along with in-office labs (80053, 36415, 85025) indicates the practice provides integrated oncology care including growth-factor support, bone-targeted therapy, IVIG use, and on-site phlebotomy and lab testing. This breadth of therapeutic and diagnostic codes suggests a consolidated care model where drug administration and related supportive services are centralized.

    Payer mix is effectively single-payer Medicare: Total Medicare revenue is $6.7M while Total Medicaid revenue is none (no Medicaid billing on file), so the practice operates without a Medicaid billing footprint. That lack of Medicaid activity may reflect patient panel demographics, site-of-care contracting, or credentialing choices and could affect payer diversification and access to lower-income patient segments.

    Tenure and operational experience are substantial: the provider’s NPI was enumerated on 2006-12-07 (~20 years ago), indicating long-standing practice presence which is consistent with the large cumulative Medicare billing volumes observed for high-cost oncology drugs. Long tenure combined with extreme national ranking on multiple agents suggests an established referral or infusion hub.

    While many individual drug codes are extreme or notably above typical national volumes, other codes appear typical or unremarkable in volume (for example J1568 ranks #77 of 381 providers nationally, 80th percentile, and several lab and phlebotomy codes sit in high but not outlier percentiles). This pattern indicates a dominant focus on a few high-revenue biologics together with a normal complement of supportive and diagnostic services rather than a broad-based expansion across many disparate procedure lines.

    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.

    97 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg67,700$40$2.9M
    J9299Injection, nivolumab, 1 mg54,960$20$1.3M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj24,120$40$916.6K
    J0897Injection, denosumab, 1 mg15,000$20$270K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg5,680$30$193.1K
    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…1,190$110$126.8K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg4,090$20$90K
    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…840$100$80.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg970$80$78.7K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg190$350$66.7K

    Showing 1–10 of 97

    • More pages

    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

    Full comparison — all codes billed, vs. state median

    97 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271123010,700$40$516.5K
    J92992308,800$20$340.2K
    J91441305,850$40$244.6K
    J156816802,730$30$138.7K
    J0897186502,580$20$79.2K
    J34903935060$480$54.4K
    Q511819301,870$20$49.7K
    7881535060040$460$47.5K
    Q51191301,530$20$43.3K
    J93051103,380$10$39.3K

    Showing 1–10 of 97

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brennen CheekTXRadiation Oncology Physician$5.9M$0
    Joel LurieTXNurse Practitioner$2.8M$0
    Sreedevi DaggubatiTXHematology & Oncology Physician$2.8M$0
    Robert BerrymanTXMedical Oncology Physician$2.7M$0
    David DspainTXMedical Oncology Physician$2.6M$0
    Darren KocsTXHematology & Oncology Physician$2.5M$0
    Dina TebcheranyTXMedical Oncology Physician$2.5M$0
    Srini ReddyTXHematology & Oncology Physician$2.5M$0
    Thomas GregoryTXMedical Oncology Physician$2.4M$0
    Praveen TumulaTXHematology & Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Response Of Texas IncTXAmbulance$2.9M$4.1M
    Rene CastilloTXMedical Oncology Physician$2M$0
    Blakely RichardsonTXDermatology Physician$1.4M$0
    South Austin Surgery Center LtdTXAmbulatory Surgical Clinic/Center$1.1M$297.7K
    Abigail OwunnaTXFamily Nurse Practitioner$1.2M$0
    Ryan TierneyTXRadiation Oncology Physician$1.2M$0
    Stonegate Surgery Center LPTXAmbulatory Surgical Clinic/Center$1.1M$0
    Austin Gi Surgicenter, LLCTXAmbulatory Surgical Clinic/Center$978.1K$0
    Ara/st. David's Imaging, LPTXRadiology Clinic/Center$734.9K$1.6K
    Steven DobberfuhlTXInternal Medicine Physician$648.5K$0

    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. Texas Distribution
    James Uyeki — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas