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    OpenPayerNPI Medicare & MedicaidBo Zhao
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    Bo Zhao — Billing Profile & Reimbursement Data

    NPI 1245464742 · Williamsburg, VA · Hematology & Oncology Physician

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    Bo Zhao is a hematology & oncology physician provider located in Williamsburg, Virginia. This profile covers 82 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
    OrganizationBo Zhao
    Address500 Sentara Cir Ste 203
    CityWilliamsburg
    StateVA
    ZIP23188
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 12, 2009

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider is a Hematology & Oncology physician whose Medicare billing is heavily driven by high-volume oncology biologics: J9271 (24K claims, $1M revenue, 42.6% of Medicare revenue), J9299 (17.7K claims, $425.8K revenue, 17.6%), and J0897 (20.5K claims, $369.4K revenue, 15.2%). The top three Medicare codes by revenue account for 75.4% of this provider's total Medicare revenue, signaling an operational focus on infusion-delivered, high-utilization cancer therapies rather than a broad mix of unrelated services.

    The provider's lifetime Medicare revenue is $2.6M and there is no Medicaid billing on file, making this effectively a single-payer (Medicare) billing profile for the public programs in the dataset. The absence of Medicaid activity means payer-concentration considerations should focus on Medicare reimbursement trends and utilization for these oncology drugs.

    Although J9271 is the single largest revenue driver ($1M, 42.6% of Medicare revenue), the provider ranks #247 of 1841 providers nationally for that code and is described as having "typical, unremarkable volume for this code" (86th percentile). Similarly, J9299 ($425.8K, 17.6%) is ranked #198 of 505 and labeled "typical, unremarkable volume for this code" (61th percentile), so the practice is not a national outlier for these checkpoint inhibitors but maintains solid utilization.

    By contrast, J0897 (denosumab) shows a different competitive signal: 20.5K claims and $369.4K revenue with a national rank of #273 of 10057 and labeled "notably above typical national volume for this code" (97th percentile). This suggests the provider has an outsized role in administering bone-modifying therapy relative to peers and may serve a patient panel with substantial bone-health needs related to oncology.

    Administration and chemotherapy-infusion codes (96413, 96401, 96365, 96375, G0498, and 96417) appear throughout the top codes, with 96413 ($63.9K) and 96375 ($10.4K) specifically called out as "notably above typical national volume" for those codes. Coupled with the dominant biologic drug codes, this mix indicates an office-based infusion service line that bills both the drugs themselves and the associated administration services.

    The provider also bills a range of supportive-care and diagnostic items—J1568 (IVIG), J0881 (darbepoetin), Q5122 (pegfilgrastim biosimilar), J0185 (aprepitant), J1750 (iron dextran), plus lab panels 85025 and 80053 and flow cytometry 88185—showing an integrated oncology workflow that includes supportive medications and in-office diagnostics. These items are lower share contributors individually but collectively underscore comprehensive oncology management beyond the top immunotherapies.

    Outpatient evaluation-and-management volumes are meaningful: 99213 (778 claims, $50.6K, listed as "notably above typical national volume" at the 98th percentile) and 99214 (527 claims, $51.1K, labeled "typical, unremarkable volume" at the 91th percentile) indicate frequent clinic follow-up and ongoing management of established patients. The E/M footprint aligns with a practice that combines longitudinal outpatient care with infusion treatments.

    The provider's NPI was enumerated 2009-05-12 (~17 years ago), indicating an established presence in the market. Given the practice's heavy Medicare revenue concentration in a small number of biologic and infusion codes (top three = 75.4% of Medicare revenue), business performance is likely sensitive to utilization shifts or reimbursement changes for those specific drugs and associated infusion 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.

    82 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg24,000$40$1M
    J9299Injection, nivolumab, 1 mg17,740$20$425.8K
    J0897Injection, denosumab, 1 mg20,520$20$369.4K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg3,730$30$123.1K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)39,640$1$79.3K
    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…630$100$63.9K
    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…530$100$51.1K
    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…780$70$50.6K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg370$90$33.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…230$90$21.2K

    Showing 1–10 of 82

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 82 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    82 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92711311012,800$40$610.9K
    J929983012,920$20$335.4K
    J089773402,820$20$89.3K
    J15686301,990$30$81.8K
    J088158010,200$1$34.5K
    881854360620$20$34.3K
    Q51221140270$90$32.5K
    9641314230250$100$28.5K
    J921757130140$130$23.9K
    992141,79512,890140$80$21K

    Showing 1–10 of 82

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Oncology AssociatesVAHematology & Oncology Physician$0$6.2M
    Maryland Oncology Hematology P.A.MDHematology & Oncology Physician$0$4.6M
    Victor ArchieVARadiation Oncology Physician$4M$0
    Julia Schaefer-cutilloNCHematology & Oncology Physician$4M$0
    Mark FlemingVAHematology & Oncology Physician$3.9M$0
    Thomas AlbericoVAHematology & Oncology Physician$3.5M$0
    David KobulnickyVAHematology & Oncology Physician$3M$0
    Celesteann BremerVAHematology & Oncology Physician$2.8M$0
    Michael LeeVASpecialist$2.3M$0
    Ligeng TianVAHematology & Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$21.9M
    Velocity Urgent Care, LLCVAUrgent Care Clinic/Center$0$20.9M
    Addiction Recovery Center Of VirginiaVAClinic/Center$0$6M
    Evolution Recovery Services LLCVAAddiction (Substance Use Disorder) Counselor$0$5.6M
    John PascholdVASpecialist$1.6M$0
    Surgical Suites Of Coastal Virginia, LLCVAAmbulatory Surgical Clinic/Center$1.3M$8.7K
    Sonia HepburnVAHematology & Oncology Physician$1.2M$0
    Audra AlbertVAFamily Nurse Practitioner$639.8K$0
    Aleisha JohnsonVADiagnostic Radiology Physician$626.6K$0
    Pranav ParikhVAInternal Medicine Physician$579K$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. Virginia Distribution
    Bo Zhao — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia