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    OpenPayerNPI Medicare & MedicaidMyron Bednar
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    Myron Bednar — Billing Profile & Reimbursement Data

    NPI 1235127622 · Flemington, NJ · Hematology & Oncology Physician

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    Myron Bednar is a hematology & oncology physician provider located in Flemington, New Jersey. This profile covers 66 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
    OrganizationMyron Bednar
    Address2100 Wescott Dr
    CityFlemington
    StateNJ
    ZIP08822
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedOctober 10, 2005

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused hematology/oncology practice with Total Medicare revenue of $2.5M and no Medicaid billing on file, meaning the clinician operates as a single‑payer (Medicare) provider in the available data. The absence of any Medicaid claims suggests negligible participation in state Medicaid programs rather than a mixed payer model.

    Revenue concentration is high and driven by a small set of biologic/oncology agents: the precomputed top 3 Medicare codes (J9271, J0897, J9299) account for 60.2% of this provider's total Medicare revenue. Those three line items are J9271 ($679.4K, 27.9%), J0897 ($401.2K, 16.5%), and J9299 ($384K, 15.8%), indicating most dollars flow through high-cost injections rather than routine office-based services.

    The code mix indicates an infusion-centric oncology operation: J9271 (pembrolizumab), J9299 (nivolumab) and J0897 (denosumab) are immune checkpoint inhibitors and bone-targeting biologics commonly administered in infusion settings, and additional chemotherapy and infusion codes such as 96413 and 96365/96367 appear in the top list. Supportive therapies and biologics are also present (J1568 IVIG, J2506 pegfilgrastim, J1449 eflapegrastim), reinforcing that the practice provides both systemic cancer therapy and associated supportive care on site.

    Competitive standing is mixed across codes: the provider is a notably high-volume national participant for J0897 (rank #224 of 10057, 98th percentile; described as notably above typical national volume) and shows strong national activity for chemotherapy administration codes (96413 ranks #175 of 7514, 98th percentile; notably above typical national volume). By contrast, the provider’s J9271 activity is more typical for the nation (rank #627 of 1841, 66th percentile), and J9299 likewise sits at a typical volume (rank #224 of 505, 56th percentile), so dominance is concentrated in specific biologics rather than across all oncology drugs.

    Several utilization metrics are statistical outliers versus national peers and point to unusually high visit or procedure throughput in specific areas: 99213 is an extreme outlier (rank #3215 of 457151, 99th percentile; far above typical national volume), and 96372 is also flagged as an extreme outlier (rank #173 of 58224, 100th percentile). These outlier labels suggest this clinician bills far more low-level E/M visits and routine injections than most peers in the national Medicare dataset.

    Operational patterns implied by the CPT mix show both high-cost drug administration and a substantial volume of lower‑paid, high-count services: for example J1439 appears with 58.5K claims at $1 avg paid/claim for $58.5K revenue, while high-revenue items like J9271 and J9299 drive hundreds of thousands in revenue. This split—large claim counts at low unit payment alongside concentrated high-dollar biologic administrations—indicates a practice balancing frequent supportive procedures with episodic, high-value oncology infusions.

    Tenure and stability: the provider’s NPI was enumerated on 2005-10-10 (~21 years ago), which suggests long-standing Medicare enrollment and an established clinical presence in Flemington, NJ. That duration supports interpretation of observed patterns as sustained practice behavior rather than a short-term billing anomaly.

    Service-line implications for payers and network strategy: because roughly 60.2% of Medicare revenue is tied to three infusion biologics (J9271, J0897, J9299), contracting or utilization-management strategies aimed at oncology drug pathways and infusion site-of-care could materially affect this provider’s Medicare spend. Additionally, the lack of Medicaid activity means state-level managed care strategies would have limited direct impact on this clinician’s billed Medicaid dollars, while Medicare-focused clinical pathways and step-therapy policies are likely to be more relevant.

    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.

    66 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg15,800$40$679.4K
    J0897Injection, denosumab, 1 mg22,290$20$401.2K
    J9299Injection, nivolumab, 1 mg16,000$20$384K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg5,890$30$200.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,310$80$98K
    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…800$120$98K
    J1449Injection, eflapegrastim-xnst, 0.1 mg3,230$30$80.8K
    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…740$110$78.2K
    J3111Injection, romosozumab-aqqg, 1 mg9,350$10$74.8K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg740$90$66.1K

    Showing 1–10 of 66

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 66 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    66 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271135010,650$40$580.7K
    J929931023,410$20$565.3K
    J15682105,220$30$445.1K
    J3111193012,600$10$107.3K
    J14496103,140$30$96.4K
    J089773803,060$20$87.8K
    823066625050$30$79K
    84443178380100$20$65.5K
    800533556090$10$50.8K
    J2506420400$80$44.4K

    Showing 1–10 of 66

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Megha ShahNJHematology & Oncology Physician$964.3K$0
    Waqas RehmanNJHematology & Oncology Physician$760.4K$0
    Edward SoffenNJRadiation Oncology Physician$714.2K$0
    Kenneth BlanksteinNJHematology & Oncology Physician$573.9K$0
    Victor NgNJRadiation Oncology Physician$254.6K$0
    Andrew GreenbergNJRadiation Oncology Physician$253.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hunterdon Medical CenterNJGeneral Acute Care Hospital$0$40.3M
    Coaching For IndependenceNJCommunity/Behavioral Health Agency$0$11.7M
    Catholic Charities, Diocese Of MetuchenNJCommunity/Behavioral Health Agency$0$10.5M
    Hunterdon Orthopedic Institute PANJOrthopaedic Surgery Physician$0$9.8M
    Easter Seals New JerseyNJMental Illness Community Based Residential Treatment Facility$0$8.8M
    High Point Partial Care, LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$8.8M
    Hunterdon Endosurgery CenterNJAmbulatory Surgical Clinic/Center$614.3K$829.2K
    Hunterdon Center For Surgery, LLCNJAmbulatory Surgical Clinic/Center$853.9K$338K
    Andrey EspinozaNJCardiovascular Disease Physician$888.2K$0
    Neal VarugheseNJDermatology Physician$468.2K$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. New Jersey Distribution
    Myron Bednar — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey