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    OpenPayerNPI Medicare & MedicaidColleen Kersgard
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    Colleen Kersgard — Billing Profile & Reimbursement Data

    NPI 1194875831 · Palmer, AK · Hematology & Oncology Physician

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    Colleen Kersgard is a hematology & oncology physician provider located in Palmer, Alaska. This profile covers 33 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
    OrganizationColleen Kersgard
    Address2490 S Woodworth Loop Ste 499
    CityPalmer
    StateAK
    ZIP99645
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJanuary 12, 2007

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

    Payer SourceTotal Paid
    Medicare$944.9K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the sole visible payer activity: lifetime Medicare revenue is $944.9K and there is no Medicaid billing on file. That makes the practice effectively single-payer (Medicare) in the available claims data, which concentrates reimbursement exposure to federal fee schedules and Medicare beneficiary populations.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 86.5% of this provider’s total Medicare revenue. Those top drivers are J9271 (55.0% of provider Medicare revenue, 12K claims, $516K revenue), J0897 (20.5% of provider Medicare revenue, 10.7K claims, $192.2K revenue), and 99214 (11.0% of provider Medicare revenue, 826 claims, $103.3K revenue), indicating a very small set of services produce the bulk of income.

    Clinical/service-line profile aligns with an office-based oncology infusion practice: dominant use of J9271 (pembrolizumab) and J0897 (denosumab) points to regular administration of high-volume biologic therapies and bone-targeted treatments delivered via infusion or injection. The presence of 99214 with substantial revenue ($103.3K, 826 claims) further indicates ongoing outpatient management and follow-up visits typical of a hematology & oncology physician.

    Competitive standing varies by code. For the top drug J9271 the provider ranks #952 of 1841 nationally (48th percentile) — a middle-of-pack national participant for pembrolizumab; for J0897 the provider ranks #1027 of 10057 (90th percentile), indicating relatively high national volume for denosumab compared with peers; and for 99214 the provider ranks #18172 of 479517 (96th percentile), described in the source as "notably above typical," showing above-average E/M visit volume relative to national peers.

    Operational mix shows an infusion-heavy practice with supportive and administration services: chemotherapy administration 96413 appears with 276 claims and $32.3K revenue (3.4% of Medicare revenue), and add-on infusion codes such as 96417 (135 claims, $8K) and 96415 (90 claims, $2.3K) are present, indicating routine multi-drug and multi-hour infusion workflows rather than isolated procedural or diagnostic billing. Multiple low-dollar pharmacy/support codes (for example, J2469 990 claims, $990 revenue and numerous lab/venipuncture codes such as 85025 with 797 claims, $8K) reflect ancillary services that support an infusion clinic model.

    Volume counts underscore throughput: very high claim volumes for key injectable drugs (12K claims for J9271 and 10.7K claims for J0897) combined with hundreds of E/M and administration claims suggest sustained, recurrent patient visits and regular infusion sessions rather than one-off procedures. This operational cadence is consistent with chronic oncology treatment regimens and ongoing disease management.

    Provider tenure is long-standing: NPI enumerated on 2007-01-12 (~19 years ago), indicating nearly two decades of billing history under this identifier, which supports interpretation of established practice patterns rather than a short-term anomaly.

    Payer-concentration implications for contracting and care management are material: with $944.9K in Medicare revenue and no Medicaid billing on file, the practice’s revenue and exposure are concentrated in Medicare; payers and network managers should treat this entity as Medicare-centric when evaluating reimbursement, utilization management, and quality measurement alignment.

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg12,000$40$516K
    J0897Injection, denosumab, 1 mg10,680$20$192.2K
    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…830$130$103.3K
    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…280$120$32.3K
    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…110$160$18.5K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.800$10$8K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…140$60$8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…940$10$7.5K
    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.120$60$7.1K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…250$30$6.8K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927181013,300$40$609.5K
    J08973302,700$20$82.7K
    964131020230$110$30.2K
    99214171,21090$100$16.2K
    9921530240040$150$11K
    992059214030$190$7.4K
    992043246030$140$6.1K
    96417520100$60$5.3K
    96365103070$50$4.8K
    96367320180$20$4.4K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lawrence LawsonAKMedical Oncology Physician$779K$0
    Midnight Sun Oncology Partners, LLCAKHematology & Oncology Physician$0$648.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mat-su Valley Medical Center LLCAKGeneral Acute Care Hospital$0$67.4M
    Mat-su Emergency Medicine Physicians CorpAKEmergency Medicine Physician$0$14.3M
    Co Occuring Disorders InstituteAKCommunity/Behavioral Health Agency$0$7.3M
    Division Of Alaskan Pioneer HomesAKAssisted Living Facility$0$6.1M
    Matanuska-susitna Borough School DistrictAKLocal Education Agency (LEA)$0$6M
    Matanuska Susitna BoroughAKLand Ambulance$1.2M$4.2M
    Ak Nurtured Living LLCAKAssisted Living Facility$0$5.4M
    Knik TribeAKCommunity/Behavioral Health Agency$0$3.8M
    Daybreak IncorporatedAKCase Management Agency$0$3.6M
    City & Borough Of Juneau AlaskaAKLand Ambulance$580.5K$2.4M

    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. Alaska Distribution
    Colleen Kersgard — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska