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    OpenPayerNPI Medicare & MedicaidSue Tsuda
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    Sue Tsuda — Billing Profile & Reimbursement Data

    NPI 1275532715 · Conway, AR · Medical Oncology Physician

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    Sue Tsuda is a medical oncology physician provider located in Conway, Arkansas. This profile covers 55 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
    OrganizationSue Tsuda
    Address350 Salem Rd Ste 4
    CityConway
    StateAR
    ZIP72034
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJuly 18, 2005

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing profile is dominated by oncology biologic and immunotherapy administration. The top three revenue drivers are J9271 ($1.4M, 46.2%), J9299 ($749.3K, 24.5%), and Q5118 ($154.6K, 5.1%), and the overall Medicare total is $3.1M, indicating the practice is primarily structured around infused cancer therapies rather than procedural surgery or primary care visits. Supplemental chemotherapy administration codes such as 96413 ($68.6K, 2.2%) and infusion/start codes like 96365 ($19.4K, 0.6%) further support a specialty infusion practice model.

    Revenue concentration is high: the precomputed top-3 codes account for 75.7% of this provider’s total Medicare revenue. That concentration — with nearly three quarters of Medicare revenue coming from two checkpoint inhibitors and one bevacizumab biosimilar — suggests the practice’s topline is highly dependent on continued prescribing and reimbursement for these specific immunotherapies and biosimilars.

    The provider is effectively single-payer in scope: Medicare accounts for the entire recorded public-payer footprint ($3.1M) while there is no Medicaid billing on file. The absence of Medicaid volume means payer-mix exposure and growth opportunities will be driven largely by Medicare demand and commercial contracts rather than state Medicaid programs.

    Competitive standing on key oncology agents is strong nationally. J9271 ranks #78 of 1841 providers nationally (96th percentile; notably above typical national volume for this code) with 33.6K claims and an average paid/claim of $42, and J9299 ranks #70 of 505 providers nationally (86th percentile) with 31.2K claims and an average paid/claim of $24, while Q5118 ranks #8 of 161 providers nationally (96th percentile; notably above typical national volume for this code). Q5118’s top-10 national rank indicates particular prominence among biosimilar users, and the high ranks for the two checkpoint inhibitors mark this provider as a major chemotherapy/immunotherapy administrator relative to peers.

    Several administration and supportive medication codes are statistical outliers or notably elevated, reflecting a high-throughput infusion operation. Codes with high percentile standing include 96413 (98th percentile; notably above typical national volume), Q5106 (rank #16 of 695; 98th percentile; notably above typical national volume), and 96375 (98th percentile; notably above typical national volume), indicating above-typical volumes for chemotherapy delivery and supportive agent use compared with national peers.

    E/M coding indicates substantial complexity and follow-up care consistent with oncology management. The provider reports 99215 activity (620 claims, $77.5K, 2.5%) and that code ranks #1109 of 145531 providers nationally (99th percentile; extreme outlier, far above typical national volume), while 99214 also contributes materially (908 claims, $75.4K, 2.5%) — together these suggest frequent high-complexity office encounters and ongoing management of complex patients.

    The NPI tenure (enumerated 2005-07-18, ~21 years ago) shows long-standing enrollment, which aligns with the sustained high volumes reported across infusion and E/M codes. Long tenure combined with concentrated oncology billing patterns implies an established specialty practice with operational systems to support high-volume biologic administration and follow-up care.

    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.

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg33,600$40$1.4M
    J9299Injection, nivolumab, 1 mg31,220$20$749.3K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg6,440$20$154.6K
    J1437Injection, ferric derisomaltose, 10 mg8,100$20$137.7K
    J0897Injection, denosumab, 1 mg6,480$20$116.6K
    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…620$130$77.5K
    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…910$80$75.4K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units11,860$10$71.2K
    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…790$90$68.6K
    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…4,150$10$33.2K

    Showing 1–10 of 55

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    55 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927144020,700$40$896.3K
    J929943015,660$20$432.9K
    J143710206,450$20$107.8K
    J0897401602,580$20$89.7K
    Q51181102,110$20$64.3K
    J088539404,070$10$38K
    964131380380$90$36.6K
    Q51061102,410$10$19.2K
    992142334,300130$70$18.8K
    992321,0201,450130$60$14.7K

    Showing 1–10 of 55

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    American Oncology Partners PAOHHematology & Oncology Physician$0$11.8M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    David SmithMDHematology & Oncology Physician$6.4M$0
    Stephen DiversARHematology & Oncology Physician$3.9M$1.5K
    Robert MuldoonARHematology & Oncology Physician$3.2M$0
    Bradley SumrallGAMedical Oncology Physician$3.1M$0
    Linda HendricksGASpecialist$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kid Success, Inc.ARRehabilitation Clinic/Center$0$140.9M
    Milestones Services, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$11.6M
    Conway Regional Medical Center IncARGeneral Acute Care Hospital$0$10.6M
    Independent Living Services, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$9.8M
    Counseling Associates, IncARMental Health Clinic/Center (Including Community Mental Health Center)$0$9.6M
    Pediatrics Plus Therapy Services, LLCARDevelopmental Disabilities Clinic/Center$0$7.1M
    Central Arkansas Pediatrics, P.A.ARPediatrics Physician$0$6.7M
    Aaron K. Forrester Dds, PLLCARPediatric Dentistry$0$5.7M
    Conway Childrens Clinic PA CorpARPediatrics Physician$0$4.8M
    Arkansas Pediatrics Of Conway, PAARPediatrics Physician$0$3.9M

    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. Arkansas Distribution
    Sue Tsuda — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas