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    OpenPayerNPI Medicare & MedicaidBrian Freeman
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    Brian Freeman — Billing Profile & Reimbursement Data

    NPI 1225141609 · Des Moines, IA · Medical Oncology Physician

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    Brian Freeman is a medical oncology physician provider located in Des Moines, Iowa. This profile covers 63 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
    OrganizationBrian Freeman
    Address411 Laurel St Ste A300
    CityDes Moines
    StateIA
    ZIP50314
    TaxonomyMedical Oncology Physician
    NPI EnumeratedAugust 17, 2006

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    This profile is heavily Medicare-centric: the provider reports Total Medicare revenue of $1.8M and has no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) billing entity rather than a mixed Medicare/Medicaid provider. Analysts should treat Medicaid-related comparisons as inapplicable because there is no in-state Medicaid activity to evaluate for this NPI.

    Revenue concentration is extreme within a narrow set of oncology drug codes: the top 3 Medicare codes by revenue account for 68.9% of this provider's total Medicare revenue, driven primarily by J9271 at $799.8K (45.7%), J9144 at $294.1K (16.8%), and J9264 at $112K (6.4%). This concentration indicates that a few high-cost infused agents dominate the payer mix and revenue risk for this practice.

    The code mix and top revenue drivers indicate a medical oncology infusion service focused on immunotherapy and monoclonal antibody treatments: J9271 (pembrolizumab), J9144 (daratumumab with hyaluronidase), and J9264 (nab‑paclitaxel) together make up the bulk of revenue, with additional supportive and biologic therapies present (J2506 pegfilgrastim, J0897 denosumab, J1569 immune globulin). The presence of infusion administration codes (96413, 96365, 96367) and G0498 further supports an on-site infusion/clinic model rather than a purely consultative practice.

    Competitive standing is mixed by code: for the largest single revenue code J9271 the provider ranks #479 of 1841 (74th percentile) which is characterized as typical, unremarkable volume nationally, while J9264 ranks #28 of 118 (76th percentile) also described as typical. Conversely, the provider’s 99214 E/M volume is a notable outlier—1.1K claims and $93.8K revenue—ranking #10040 of 479517 providers (98th percentile; notably above typical national volume), indicating substantially higher office-visit activity relative to most Medicare clinicians.

    Operational footprint signals routine in‑office ancillary services: high-percentile lab and phlebotomy volumes (80053 at 868 claims, ranks in the 93th percentile; 85025 at 1.1K claims, 93th percentile; 36415 at 718 claims, 94th percentile) suggest the practice performs substantial on-site monitoring and draws for therapy patients. These downstream services align with frequent infusion cycles and the need for serial labs in oncology management.

    Use of supportive and chronic therapy codes points to a full-spectrum oncology caseload: J2506 pegfilgrastim ($23.1K), J0897 denosumab ($88.6K), and J0881 darbepoetin alfa ($41K) appear regularly in the billing mix, reflecting engagement in marrow-supportive care and bone-health management alongside cytotoxic and immune therapies. This mix increases clinical complexity and payer exposure beyond single-dose infusions.

    Market positioning is not that of a national leader for most biologic agents: several high-revenue drugs are described as "typical, unremarkable volume" despite meaningful absolute revenue, and some biosimilar and specialty product ranks are low (Q5115 at $62.7K ranks #63 of 79, 19th percentile; J1569 at $60.5K ranks #438 of 542, 19th percentile), indicating selective or limited use of certain agents compared with peers. Overall, the practice appears to be a mid‑to‑upper‑volume regional oncology infusion provider rather than a top national center for these drugs.

    NPI tenure indicates an established practice history: the NPI was enumerated on 2006-08-17 (~20 years ago), which aligns with a long operating window and likely sustained referral relationships and clinic workflows that support the observed infusion-heavy, Medicare-focused revenue profile.

    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.

    63 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg18,600$40$799.8K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj7,740$40$294.1K
    J9264Injection, paclitaxel protein-bound particles, 1 mg11,200$10$112K
    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…1,050$90$93.8K
    J0897Injection, denosumab, 1 mg4,920$20$88.6K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg1,790$40$62.6K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg1,680$40$60.5K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)20,500$1$41K
    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…410$90$38.9K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg310$70$23.1K

    Showing 1–10 of 63

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    63 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271123017,200$40$902.3K
    J91447109,900$40$476.8K
    J15698102,680$40$133.6K
    J926431013,700$10$133.2K
    J0897411901,920$20$74.1K
    Q51155101,790$30$71.4K
    J088161015,520$1$43.2K
    J25061120440$80$38.9K
    964131680210$90$24K
    J92174350140$130$23.4K

    Showing 1–10 of 63

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State University Of IowaIAFamily Medicine Physician$0$103.8M
    State University Of IowaIAGeneral Acute Care Hospital$0$90.4M
    State University Of IowaIADentist$0$25.8M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    State University Of IowaIADentist$0$5.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Broadlawns Medical CenterIAGeneral Acute Care Hospital$0$112.9M
    Catholic Health Initiatives-iowa CorpIAGeneral Acute Care Hospital$0$26.4M
    Des Moines Independent Community School DistrictIALocal Education Agency (LEA)$0$22.8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$14.1M
    Broadlawns Medical CenterIACommunity/Behavioral Health Agency$0$13.2M
    Mercy Clinics IncIAPediatric Adolescent Medicine Physician$0$10.7M
    Des Moines River Physicians, LLCIAEmergency Medicine Physician$0$8.1M
    Catholic Health Initiatives-iowa CorpIAClinical Medical Laboratory$0$8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.9M
    Vita Health ServicesIAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$7.5M

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