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    OpenPayerNPI Medicare & MedicaidJoyce Philip
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    Joyce Philip — Billing Profile & Reimbursement Data

    NPI 1235524406 · Appleton, WI · Hematology & Oncology Physician

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    Joyce Philip is a hematology & oncology physician provider located in Appleton, Wisconsin. This profile covers 12 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
    OrganizationJoyce Philip
    Address2500 E Capitol Dr
    CityAppleton
    StateWI
    ZIP54911
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 3, 2015

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

    Payer SourceTotal Paid
    Medicare$52.1K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…270$90$24.6K
    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…160$130$20.7K
    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…150$10$1.2K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…80$10$980
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.120$10$970
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…120$10$960
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.20$50$870
    80076The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.110$10$860
    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…10$60$730
    J7050Infusion, normal saline solution, 250 cc120$1$120

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,1259,80080$70$9.2K
    992152383,32030$110$6.3K
    992138,9829,38060$50$4.7K
    7126039746050$40$2.7K
    8502510387030$10$2.4K
    364157282,30070$10$2.3K
    800488653040$10$2.1K
    963753150100$10$1.9K
    80076146040$10$1.8K
    83615233070$10$1.8K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thedacare Medical Center - Shawano, Inc.WICritical Access Hospital$0$32.8M
    Thedacare Regional Medical Center-neenah, Inc.WIGeneral Acute Care Hospital$0$18.3M
    Thedacare, IncorporatedWIFamily Medicine Physician$0$14.8M
    Thedacare Regional Medical Center - Appleton, Inc.WIGeneral Acute Care Hospital$0$11.5M
    Thedacare Medical Center - Waupaca, Inc.WICritical Access Hospital$0$10.9M
    Thedacare Medical Center - Berlin, Inc.WICritical Access Hospital$0$9.4M
    Thedacare Medical Center - New London, Inc.WICritical Access Hospital$0$9.2M
    Thedacare, IncorporatedWICommunity Based Hospice Care Agency$0$8.3M
    Thedacare, IncorporatedWIDurable Medical Equipment & Medical Supplies$0$7.4M
    Thedacare Medical Center - Wild Rose, IncWICritical Access Hospital$0$6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of OutagamieWIMental Health Clinic/Center (Including Community Mental Health Center)$0$45.5M
    Milwaukee Health Services System, LLCWIMethadone Clinic$0$9.4M
    Mooring Programs, IncWISubstance Abuse Rehabilitation Facility$0$7.3M
    Appleton Area School DistrictWILocal Education Agency (LEA)$0$5.6M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$1.4M
    Richard Santa CruzWICardiovascular Disease Physician$477.8K$0
    David AnderlaWIFamily Medicine Physician$402K$0
    Toni Jo NealWIFoot & Ankle Surgery Podiatrist$241.6K$0
    Mac WeningerWIPhysical Medicine & Rehabilitation Physician$215.7K$0
    Ameer KabourWICardiovascular Disease Physician$202.9K$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. Wisconsin Distribution
    Joyce Philip — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin