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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLois Kamugisha
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    Lois Kamugisha — Billing Profile & Reimbursement Data

    NPI 1134396948 · Northampton, MA · Hematology (Internal Medicine) Physician

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    Lois Kamugisha is a hematology (internal medicine) physician provider located in Northampton, Massachusetts. This profile covers 24 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
    OrganizationLois Kamugisha
    Address30 Locust St
    CityNorthampton
    StateMA
    ZIP01060
    TaxonomyHematology (Internal Medicine) Physician
    NPI EnumeratedMay 12, 2008

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

    Payer SourceTotal Paid
    Medicare$204.9K
    Medicaid$0

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg1,910$40$68.8K
    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…310$100$31.3K
    J0897Injection, denosumab, 1 mg1,620$20$29.2K
    J1439Injection, ferric carboxymaltose, 1 mg24,750$1$24.8K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units2,290$10$13.7K
    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…60$110$6.5K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.100$60$5.7K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units750$10$4.5K
    M0010Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services60$70$4.4K
    99204The provider sees a new 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 provider…30$140$4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08972641102,880$20$81.9K
    J0885201010,240$10$39.8K
    J1439251034,880$1$25.9K
    9641319160120$110$17.6K
    992142,98915,410110$80$15.6K
    Q510620201,280$10$13.6K
    992153,2376,36040$120$8.9K
    992138,06913,70070$60$8.8K
    992232,0674,43030$140$7.6K
    992043,2405,87030$120$5.6K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$79.3M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$39.5M
    Starling Physicians, PLLCCTInternal Medicine Physician$0$38.1M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    Medstar Franklin Square Physicians LLCMDGeneral Practice Physician$0$15.8M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Bayhealth Medical Center, IncDEColon & Rectal Surgery Physician$0$12.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$204.8M
    Nonotuck Resource Associates, IncMAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$154.6M
    Department Of Mental HealthMACommunity/Behavioral Health Agency$0$153M
    Cooley Dickinson Hospital IncMAGeneral Acute Care Hospital$0$34.9M
    Servicenet IncMAEarly Intervention Provider Agency$0$10M
    Servicenet IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    Mass General Brigham Medical Group Western Massachusetts IncMAFamily Medicine Physician$0$8M
    City Of NorthamptonMALand Ambulance$831.4K$2.7M
    Shields Pet Ct At Cooley Dickinson Hospital LLCMAMobile Radiology Clinic/Center$685K$6.7K
    Steven WeinsierMACardiovascular Disease Physician$338.5K$400

    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. Massachusetts Distribution
    Lois Kamugisha — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts