Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidK'anne Arthur
    Ask Trek AI about this page

    K'anne Arthur — Billing Profile & Reimbursement Data

    NPI 1144663923 · Fayetteville, AR · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for K'anne Arthur — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    K'anne Arthur is a hematology & oncology physician provider located in Fayetteville, Arkansas. This profile covers 113 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationK'anne Arthur
    Address3232 N Northhills Blvd
    CityFayetteville
    StateAR
    ZIP72703
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 11, 2013

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

    Payer SourceTotal Paid
    Medicare$3.2M
    Medicaid$0

    Key Findings

    Practice revenue is concentrated in high-cost oncology biologics and immunotherapies, with the top three Medicare codes — J9271 $748.2K (24.7% of Medicare revenue), J9299 $673.4K (22.2%), and J9144 $414.7K (13.7%) — accounting for 60.6% of the provider's Medicare revenue. The code mix (checkpoint inhibitors, anti-CD38 therapy, and other specialty injectables) aligns with a hematology/oncology infusion practice that delivers complex, clinic-based systemic cancer therapies.

    Total Medicare revenue is $3.2M while Total Medicaid revenue is none (no Medicaid billing on file), making this provider effectively single-payer Medicare in scale and exposure. That payer concentration means reimbursement or utilization changes from Medicare for high-cost drugs could materially affect the practice's revenue.

    Competitive standing on principal drug codes is mixed: J9299 ranks #91 of 505 providers nationally (82th percentile), and J9144 ranks #163 of 615 providers (73th percentile), indicating a stronger-than-average national presence for those agents, while J9271 ranks #529 of 1841 providers (71th percentile), which is typical volume for that code. These ranks suggest the provider is a notable, but not market-dominant, participant in administering these specific oncology agents at the national level.

    Several procedural codes are statistical outliers relative to national peers, signaling distinctive practice patterns: 99215 is labeled an extreme outlier (rank #579 of 145531, 100th percentile; extreme outlier), and 74178 is likewise an extreme outlier (rank #97 of 11397, 99th percentile; extreme outlier). High-volume, high-complexity E/M billing combined with unusually high CT abdomen/pelvis volume suggests the practice manages complex patients and orders substantial diagnostic imaging.

    Imaging and radiopharmaceutical services form a meaningful ancillary revenue stream: 78815 generated $264.1K (8.7% of Medicare revenue) and ranks #752 of 6566 providers (89th percentile), while A9552 produced $44.5K and ranks #192 of 2411 providers (92th percentile). The presence of PET/CT and radiotracer codes alongside high-value drug administration implies either on-site or closely affiliated imaging capacity that supports oncology staging and monitoring.

    Infusion and supportive care services are evident through chemotherapeutic administration and biologic support codes: 96413 (chemotherapy administration) produced $48.3K and ranks #522 of 7514 providers (93th percentile), J1561 (immune globulin) produced $265.2K (8.8% of Medicare revenue) and ranks #52 of 180 providers (72th percentile), and J0897 (denosumab) contributed $106.9K. These lines indicate integrated infusion services and management of treatment-related supportive needs as part of the practice offering.

    Laboratory testing appears to be a routine internal or closely coordinated service set, with 80053 CMPs ($18.9K, rank #671 of 26416 providers, 97th percentile), 85025 CBCs ($17K, rank #918 of 32833, 97th percentile), and 83735 magnesium ($12.9K, rank #224 of 6938, 97th percentile) all showing high percentile ranks. Consistently high national percentiles for multiple basic lab panels are consistent with ongoing monitoring of oncology patients receiving systemic therapies.

    Provider tenure is well established: NPI enumerated 2013-04-11 (~13 years ago), and the lifetime Medicare revenue of $3.2M indicates a sustained, mid-sized Medicare-focused oncology practice. Combined with the code mix and percentile profile, the data describe an experienced hematology & oncology physician operating a clinic with substantial infusion, imaging, and diagnostic support services.

    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.

    113 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg17,400$40$748.2K
    J9299Injection, nivolumab, 1 mg28,060$20$673.4K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj11,520$40$414.7K
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg6,980$40$265.2K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…260$1,010$264.1K
    J0897Injection, denosumab, 1 mg5,940$20$106.9K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg3,020$30$102.7K
    99215The provider sees an established 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…780$130$98.3K
    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…560$90$48.3K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries290$160$44.5K

    Showing 1–10 of 113

    • 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 113 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    113 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271264020,700$40$896.3K
    J929953015,660$20$432.9K
    J914451010,530$40$361.9K
    J15615105,930$40$216.4K
    Q51159202,800$30$95.9K
    J0897431602,580$20$89.7K
    788152010090$550$83.7K
    J088538404,070$10$38K
    964132980380$90$36.6K
    A95521140180$150$28.9K

    Showing 1–10 of 113

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with K'anne Arthur, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Highlands Oncology Group PAARHematology & Oncology Physician$0$5.7M
    Matthew LockwoodARHematology & Oncology Physician$4.2M$0
    Eric SchaeferARHematology & Oncology Physician$3.6M$0
    Patrick TravisARHematology & Oncology Physician$3.3M$0
    Gregory OakhillARHematology & Oncology Physician$2.8M$0
    Stephan RosenfeldARHematology & Oncology Physician$2.3M$0
    J BeckARHematology & Oncology Physician$2.2M$0
    Dmitriy ZakARHematology & Oncology Physician$2.2M$0
    Mitchell RossARHematology & Oncology Physician$2.2M$0

    Nearby Providers

    Other providers in the same ZIP code as K'anne Arthur, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanders, Tompkins, Schiro, Landers And Sanders PLLCARPediatric Dentistry$0$30.4M
    Children's Therapy Services, Inc.ARPediatric Physical Therapist$0$29.2M
    Life Styles Inc.ARCase Management Agency$0$19.6M
    Washington Regional Medical CenterARGeneral Acute Care Hospital$0$10.9M
    Cross Therapy Services, LtdARPediatric Occupational Therapist$0$5.8M
    Medical Associates Of Northwest Arkansas PAARPediatrics Physician$0$5.8M
    Oral & Facial Surgery Center PAAROral and Maxillofacial Surgery (Dentist)$0$4.8M
    Thomas A. Sarna, Dds PLLCAROral and Maxillofacial Surgery Clinic/Center$0$3.4M
    Washington Regional Medical SystemARHospitalist Physician$0$3.4M
    The Therapy Spot,llcARSpeech-Language Pathologist$0$3.2M

    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. Arkansas Distribution
    K'anne Arthur — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas