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    OpenPayerNPI Medicare & MedicaidChristopher Benton
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    Christopher Benton — Billing Profile & Reimbursement Data

    NPI 1255667655 · Englewood, CO · Hematology & Oncology Physician

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    Christopher Benton is a hematology & oncology physician provider located in Englewood, Colorado. This profile covers 78 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
    OrganizationChristopher Benton
    Address701 E Hampden Ave Ste 300
    CityEnglewood
    StateCO
    ZIP80113
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedOctober 20, 2009

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    CHRISTOPHER BENTON is a hematology & oncology physician in Englewood, CO, with an NPI enumerated on 2009-10-20 (~17 years ago), indicating long-tenured Medicare participation and likely an established outpatient oncology practice. The code mix and descriptions (large volumes of antineoplastic and supportive-care injections plus E/M and infusion codes) point to a clinic that primarily delivers oncology therapeutics and associated infusion services rather than inpatient surgery or procedural subspecialty work.

    Medicare drives the entirety of recorded public payer activity for this provider: Total Medicare revenue is $1.8M while there is no Medicaid billing on file, so this profile is effectively single-payer (Medicare) from the available claims data and any Medicaid-facing capacity is not evident in the dataset.

    Revenue concentration is high: the precomputed top-3 Medicare codes account for 76.3% of the provider's Medicare revenue, indicating most dollars come from a very small set of drug administration codes rather than a broad mix of office visits or diagnostic testing. This concentration suggests the business is centered on dispensing specific high-cost therapies.

    J0896 is the largest single revenue driver at $663.4K (39.6% of Medicare revenue) and J9271 contributes $533.2K (31.9%); together with the third top drug these codes form the majority of revenue. The prominence of J0896 (luspatercept) and J9271 (pembrolizumab) underscores a practice focused on specialty oncology/hematology biologic therapies and immunotherapy administration.

    Competitive standing by code varies: the provider ranks #1 nationally for J0896 (100th percentile) despite the dataset noting only 2 providers nationally for that code, which indicates dominance for that specific drug in the available national sample. For J9271 the provider ranks #910 of 1841 (50th percentile), a middle-tier, typical national volume for pembrolizumab, while several E/M and infusion codes (e.g., 99214 rank in the 91st percentile, 99215 rank in the 97th percentile, 96413 rank in the 83rd percentile) show above-typical to notably-above-typical use relative to peers, signaling stronger-than-average office visit and chemotherapy administration volumes.

    Service-line implications from the full CPT/HCPCS mix: high volumes of chemotherapy administration codes (96413, 96417, 96401), infusion management codes (G0498, 96365, 96367), and drug J-codes indicate the practice operates a clinic-based infusion suite providing systemic cancer therapy and supportive biologics. The presence of procedure codes such as 38222 (bone marrow biopsy) and flow cytometry add-on 88185 suggests diagnostic hematology capabilities are also offered or coordinated.

    Payer and coding outliers are limited but notable: several routine venipuncture/lab codes (36415, 85025, 80053) are at very high national percentiles (96–99th), consistent with frequent on-site lab monitoring typical in oncology care. The profile includes codes labeled “notably above typical” (e.g., 99215 and 96372) and “typical, unremarkable” volumes for many specialty drug codes, indicating a mix of strong office-level utilization together with standard specialty drug dispensing patterns rather than across-the-board exceptional billing.

    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.

    78 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0896Injection, luspatercept-aamt, 0.25 mg21,400$30$663.4K
    J9271Injection, pembrolizumab, 1 mg12,400$40$533.2K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg2,460$30$81.2K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)35,090$1$70.2K
    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…530$100$50.5K
    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…360$130$48.3K
    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…380$110$39.4K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…1,360$20$25.8K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg310$80$25.3K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units3,340$10$20K

    Showing 1–10 of 78

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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 78 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    78 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089611021,400$30$653.2K
    J9271134010,700$40$520.5K
    J156815302,240$30$101.5K
    Q5122710320$90$30.7K
    J08811107,670$1$23.4K
    J3490166050$290$23.1K
    Q51061103,340$10$20.6K
    9641322140130$100$19.7K
    J92175160100$130$15.6K
    88185210520$20$14.7K

    Showing 1–10 of 78

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nauman MoazzamCOHematology & Oncology Physician$3.6M$0
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Ioana HinshawCOHematology & Oncology Physician$2.7M$0
    John BurkeCOHematology & Oncology Physician$2.6M$0
    Patrick EulittCOMedical Oncology Physician$2.4M$0
    Patrick RichardCORadiation Oncology Physician$1.9M$0
    Paul DecarolisCOHematology & Oncology Physician$1.6M$0
    Maurice MarkusCOHematology & Oncology Physician$1.6M$0
    Sujatha NallapareddyCOHematology & Oncology Physician$1.4M$0
    Manojkumar BupathiCOHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Healthone LLCCOGeneral Acute Care Hospital$0$19.6M
    Marion Health Associates, Inc.COAssisted Living Facility$0$5.1M
    Carepoint Emergency Medicine, PLLCCOEmergency Medicine Physician$0$4.1M
    Novamed Surgery Center Of Denver LLCCOAmbulatory Surgical Clinic/Center$2M$248.7K
    Evoke Medical Care LLCCOCardiology Technician$2M$190.1K
    Michael SmithCORheumatology Physician$2M$0
    Eric WestermanCORheumatology Physician$1.3M$0
    Robert SpencerCORheumatology Physician$1.1M$0
    Cherie ReichartCORheumatology Physician$1.1M$0
    Healthone Ridge View Endoscopy Center, LLCCOAmbulatory Surgical Clinic/Center$695.4K$114.4K

    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. Colorado Distribution
    Christopher Benton — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado