Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Adam Williams (NPI 1265433445)

Field	Value
Entity Type	Individual
Organization	Adam Williams
Address	1501 Ne Medical Center Dr
City	Bend
State	OR
ZIP	97701
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	August 10, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

Practice model dominated by in-office biologic injections: Medicare billing is heavily weighted toward specialty biologic drugs administered by the practice, with J2357 (omalizumab), J0517 (benralizumab), and J2356 (tezepelumab-ekko) together accounting for the bulk of Medicare revenue. These three codes generate $390.2K, $293K, and $267.5K respectively and the platform shows the top 3 Medicare codes by revenue account for 76.3% of this provider's total Medicare revenue, indicating an operational focus on biologic therapy delivery rather than high-volume procedural or traditional primary-care E/M services.

Revenue scale and payer mix are sharply concentrated: lifetime Medicare revenue is $1.3M while there is no Medicaid billing on file, so this provider is effectively single-payer from a public-program perspective. The absence of Medicaid activity ("none below — this provider has no Medicaid billing on file") means the practice’s public reimbursement exposure is concentrated in Medicare and in-office drug administration revenue streams.

Biologic administration is the primary revenue driver and suggests a specialty infusion/injection clinic model: high-claim counts on drug codes (J2357: 13.5K claims; J0517: 2.2K claims; J2356: 19.1K claims) combined with relatively low E/M volume imply visits are primarily for drug dosing rather than longer new-patient/problem-focused consults. Low revenue contribution from standard E/M codes (e.g., 99204 $13.6K, 99214 $9.5K) reinforces that clinical throughput is oriented around repeat injection visits.

Competitive standing on top biologics is above median but not uniquely dominant: J2357 ranks #44 of 581 providers nationally (93rd percentile) and is described as a typical, unremarkable national volume; J0517 ranks #37 of 200 (82nd percentile) and J2356 ranks #26 of 113 (77th percentile). These percentiles indicate the provider is an above-median contributor for these biologics nationally, but the rankings and accompanying labels suggest participation at a solid specialty level rather than being a national outlier or sole market leader.

Notable high-volume administration code signals intensive injection throughput beyond drug-specific billing: code 96372 shows 742 claims, $8.2K revenue and ranks #778 of 58224 providers nationally (99th percentile; notably above typical national volume). This indicates the practice performs a high volume of therapeutic or diagnostic injections administered by staff under physician supervision, consistent with a biologic/administration-focused workflow.

Traditional allergy testing and immunotherapy are present but secondary to biologics: codes for mixing antigens and skin testing (95165: 450 claims, $4.5K; 95004: 775 claims, $2.3K) and multi/single injection immunotherapy (95117, 95115) appear in the billing mix at modest revenue levels. These lower-revenue allergy codes show the practice maintains conventional allergy services, but they are not the main revenue engine compared with the high-value biologic injection codes.

Clinical revenue concentration poses operational and reimbursement risk if biologic demand or Medicare reimbursement changes: with 76.3% of Medicare revenue coming from the top three biologic injection codes, the practice’s financial profile is tightly coupled to continuation of biologic administration volumes and current drug reimbursement policies. Analysts should interpret profitability and capacity metrics with caution since a large share of income is sourced from a small set of injectable therapies.

Established tenure supports market experience: the provider’s NPI was enumerated on 2005-08-10 (~21 years ago), indicating long-standing enrollment and multi-year presence in Medicare. This longevity, combined with the observed billing mix, suggests a mature specialty practice that has shifted or grown into a biologic-administration role over many years.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2357	Injection, omalizumab, 5 mg	13,460	$30	$390.2K
J0517	Injection, benralizumab, 1 mg	2,220	$130	$293K
J2356	Injection, tezepelumab-ekko, 1 mg	19,110	$10	$267.5K
J2182	Injection, mepolizumab, 1 mg	10,900	$20	$250.7K
99204	The provider sees a new 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 provider…	120	$110	$13.6K
99214	The 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…	110	$90	$9.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	740	$10	$8.2K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	450	$10	$4.5K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	780	$1	$2.3K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	230	$10	$1.8K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Adam Williams — 4 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0517	1	10	2,220	$130	$292.2K
J2182	1	10	10,900	$20	$252.4K
J2356	1	10	16,280	$10	$232.1K
J2357	1	10	2,190	$30	$165.9K
99214	2,412	6,070	80	$70	$10.3K
95165	19	40	460	$10	$9.1K
99213	4,093	5,480	60	$50	$5.7K
99204	127	2,750	30	$110	$4.4K
95004	16	30	780	$1	$3K
99203	1,182	1,790	30	$70	$3K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bend Memorial Clinic PC	OR	Family Medicine Physician	$0	$11.7M
Anthony Kahr	OR	Rheumatology Physician	$2.8M	$0
Laith Kadasi	OR	Ophthalmology Physician	$2.2M	$0
Gregory Borstad	NC	Rheumatology Physician	$1.6M	$0
Christina Bright	OR	Rheumatology Physician	$1.4M	$0
William Schmidt	OR	Hematology & Oncology Physician	$1.4M	$0
Benjamin Miriovsky	AL	Hematology & Oncology Physician	$1.3M	$0
David Greenberg	OR	Diagnostic Radiology Physician	$997.3K	$0
Wayne Nelson	OR	Vascular Surgery Physician	$611.9K	$0
Rahim Fazel	OR	Diagnostic Radiology Physician	$574.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ortc, LLC	OR	Substance Abuse Rehabilitation Facility	$747.3K	$16.2M
Telecare Mental Heatlh Service Of Oregon, Inc	OR	Mental Illness Community Based Residential Treatment Facility	$0	$12.8M
Pfeifer & Associates	OR	Community/Behavioral Health Agency	$0	$11.6M
Grants Pass Treatment Center	OR	Substance Abuse Rehabilitation Facility	$0	$9.5M
St. Charles Health System, Inc.	OR	Family Medicine Physician	$0	$8.6M
Deschutes County Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.9M
Central Oregon Pediatric Associates	OR	Pediatrics Physician	$0	$7.2M
Bend Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$4.8M	$1.7M
Adam Angeles	OR	Plastic and Reconstructive Surgery Physician	$6.5M	$0
Central Oregon Emergency Physicians LLC	OR	Emergency Medical Services (Emergency Medicine) Physician	$0	$5.2M

Adam Williams — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References