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    OpenPayerNPI Medicare & MedicaidDavid Reisman
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    David Reisman — Billing Profile & Reimbursement Data

    NPI 1285710152 · Manchester, NH · Hematology & Oncology Physician

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    David Reisman is a hematology & oncology physician provider located in Manchester, New Hampshire. This profile covers 23 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
    OrganizationDavid Reisman
    Address87 Mcgregor St
    CityManchester
    StateNH
    ZIP03102
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedOctober 31, 2006

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

    Payer SourceTotal Paid
    Medicare$366.8K
    Medicaid$0

    Key Findings

    This provider’s Medicare business is modest in scale: Total Medicare revenue is $366.8K while Medicaid billing is reported as none, so the practice is effectively single‑payer (Medicare) in the available data. The NPI was enumerated on 2006-10-31 (~20 years ago), indicating long tenure which supports an established local practice footprint despite the relatively small Medicare revenue total.

    Revenue concentration is high: precomputed top 3 Medicare codes by revenue account for 72.6% of this provider's total Medicare revenue. J0897 alone represents $208.4K (57.1% of Medicare revenue), with 99214 at $32.1K (8.8%) and J1437 at $24.3K (6.7%), so these three codes dominate the payer mix and should be the focus for payer contracting or utilization review.

    The code mix indicates an infusion‑centric hematology/oncology practice with a strong emphasis on specialty injectable therapies rather than high volumes of evaluation & management alone. J0897 (denosumab) and J1437 (ferric derisomaltose) are the top drivers by revenue, and chemotherapy administration codes such as 96413, 96401 and add‑on/infusion codes (96417, 96367, 96365) are present at lower revenue levels, consistent with an outpatient infusion/service line rather than a pure office‑visit practice.

    Competitive standing is mixed across codes: for the top revenue driver J0897 the provider ranks #887 of 10057 nationally (91th percentile) with a label of typical, unremarkable volume, indicating they are above median but not an outlier nationally for that drug. By contrast J1437 ranks #495 of 581 (15th percentile) and is reported as typical, unremarkable volume relative to a much smaller national cohort for that code, suggesting relatively low standing for ferric derisomaltose compared with the narrow peer group.

    Several evaluation & management codes appear as meaningful secondary revenue sources but at modest levels versus infusions: 99214 generated $32.1K (8.8%) and 99215 generated $22.4K (6.1%) of Medicare revenue, and 99213 and new‑patient codes are present at lower revenue. National rank/percentiles for these E/M codes (for example 99214 at #82175 of 479517, 83th percentile) show the provider is a typical/above‑median user of mid‑level E/M visits, consistent with ongoing follow‑up care tied to infusion services.

    There are notable high‑volume/low‑revenue supply or ancillary codes on file that merit attention: J1100 shows 3.2K claims with $0 avg paid/claim and $0 revenue yet ranks #880 of 23460 (96th percentile) and is flagged as notably above typical national volume. Similarly, J2469 (palonosetron) appears with 960 claims but only $960 revenue. These patterns reflect substantial claim activity for certain injectable supplies or antiemetics that produce little direct Medicare revenue and may reflect billing practices tied to bundled administration or payer contract terms.

    A couple of procedural codes are national outliers in utilization: 36591 (blood draw from an implanted venous access device) generated $3.4K and the provider ranks #26 of 699 (96th percentile), described as notably above typical national volume. That elevated use of port/implant access services aligns with an infusion/heme‑oncology clinic profile and may indicate a higher per‑patient intensity of infusion procedures or a patient panel that frequently receives port‑based therapies.

    Chemotherapy administration codes are present but not dominant: 96413 produced $18.3K (5.0%) and other chemo administration entries (96401, 96402, 96417) contribute smaller shares. Ranks for these codes are generally in the middle of national distributions (for example 96413 at the 58th percentile), implying the provider delivers standard chemotherapy/infusion services at typical volumes for a community hematology/oncology practice rather than operating at a high‑volume oncology center.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg11,580$20$208.4K
    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…350$90$32.1K
    J1437Injection, ferric derisomaltose, 10 mg1,430$20$24.3K
    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…170$130$22.4K
    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…190$100$18.3K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg110$140$14.8K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.180$50$9.1K
    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…150$50$7.3K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…100$50$4.9K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…200$20$4.3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08972202,760$20$75.4K
    J14371101,430$20$24.5K
    J9217410100$130$16.4K
    964131020140$100$15.8K
    992144073,150110$80$13.2K
    9923360460070$90$10.9K
    992137902,90070$50$6.9K
    99215801,08040$110$6.8K
    9640111070$50$5.1K
    9920537644020$140$4.9K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Memorial Health CareMNAmbulance$0$112.8M
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$90.4M
    Firsthealth Of The Carolinas, Inc.NCGeneral Acute Care Hospital$0$61.5M
    Benefis Hospitals IncMTMulti-Specialty Clinic/Center$0$38.2M
    West MontMTAdult Care Home Facility$0$34.7M
    Fairview Express CareMNSpecialist$0$33.1M
    North Memorial Health CareMNGeneral Acute Care Hospital$0$32.5M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$30M
    Fairview Health ServicesMNEmergency Medicine Physician$0$26.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moore Center Services, Inc.NHEarly Intervention Provider Agency$0$373.9M
    Catholic Medical CenterNHGeneral Acute Care Hospital$0$19.8M
    Manchester School DistrictNHLocal Education Agency (LEA)$0$4M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$3.1M
    Paul DegregorioNHRetina Specialist (Ophthalmology) Physician$1.9M$0
    Metro Treatment Of New Hampshire LPNHMethadone Clinic$148.8K$1.6M
    Anthony CorrentiNHOphthalmology Physician$1.5M$0
    Home For Butterflies, LLCNHIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$1.4M
    Nancy Efferson-bonacheaNHOphthalmology Physician$790.7K$0
    Nh Eye Associates PLLCNHOphthalmology Physician$0$739K

    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. New Hampshire Distribution
    David Reisman — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire