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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLawrence Mendelsohn
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    Lawrence Mendelsohn — Billing Profile & Reimbursement Data

    NPI 1295717189 · Little Rock, AR · Hematology & Oncology Physician

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    Lawrence Mendelsohn is a hematology & oncology physician provider located in Little Rock, Arkansas. This profile covers 116 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
    OrganizationLawrence Mendelsohn
    Address8901 Carti Way
    CityLittle Rock
    StateAR
    ZIP72205
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$3.4M
    Medicaid$0

    Key Findings

    This provider’s billing footprint is concentrated in Medicare with Total Medicare revenue of $3.4M and no Medicaid billing on file, indicating an effectively single-payer (Medicare) practice profile rather than a dual-payer operation. The lack of Medicaid activity should be noted for payer-mix analysis and network strategy.

    Revenue concentration is heavy in a small set of infusion drugs: the precomputed top 3 Medicare codes by revenue account for 58.2% of this provider's total Medicare revenue, led by J9271 (26.8K claims, $1.2M revenue, 36.4% of total Medicare revenue), followed by J9299 (20.4K claims, $489.6K revenue, 15.5%) and J0897 (11.3K claims, $203K revenue, 6.4%). This mix (pembrolizumab, nivolumab, denosumab) points to a practice model centered on high-cost oncology/infusion biologics rather than fee-for-service procedural volume alone.

    Clinical service-line signals show the provider runs a high-volume outpatient oncology clinic: E/M codes are extreme outliers nationally (99214: 1.5K claims, $131.9K revenue, 4.2% of Medicare revenue — labeled extreme outlier; 99213: 1.8K claims, $102.6K revenue, 3.2% — labeled extreme outlier; 99205: 148 claims, $22.6K revenue, 0.7% — labeled extreme outlier). These elevated E/M volumes, paired with high infusion drug billing, imply substantial ambulatory visit throughput supporting infusion care and new patient evaluations.

    Chemotherapy and infusion administration codes further confirm active onsite infusion services: 96413 (1K claims, $87.4K revenue, 2.8% — labeled extreme outlier), 96375 (1.8K claims, $20K revenue, 0.6% — labeled extreme outlier), and 96367 (754 claims, $15.1K revenue, 0.5% — labeled notably above typical national volume) appear prominently. The pattern of high-percentile procedural infusion codes alongside the expensive immunotherapy agents suggests integrated clinic operations that combine drug administration and associated monitoring.

    Competitive standing is mixed by code: for the highest-revenue drug J9271 the provider ranks #182 of 1841 (90th percentile; typical, unremarkable volume), and for J9299 ranks #158 of 505 (69th percentile; typical, unremarkable volume), placing the provider in upper national percentiles but described as typical for those specialties. By contrast, some supportive agents and lab/test volumes (for example, J1437 at #46 of 581, 92th percentile; labeled notably above typical national volume) show pockets where this provider bills notably more than peers, indicating selective strengths within certain supportive-care services.

    Supportive care and laboratory monitoring are substantial and consistent with oncology follow-up: CBC and phlebotomy codes (85025: 5.6K claims, $45.1K revenue, 1.4% — ranks #297 of 32833, 99th percentile; 36415: 5.5K claims, $44.4K revenue, 1.4% — ranks #307 of 86467, 100th percentile) plus tumor markers and ferritin testing (82378, 86300, 82728) appear at high national percentiles while being described as typical, unremarkable volume. This pattern supports an on-site lab and routine surveillance workflow tied to ongoing cancer therapy.

    Biosimilars and growth-factor utilization is evident across the mix: Q5126 (bevacizumab-maly) accounts for $137K revenue (4.3% of Medicare revenue), Q5115 (rituximab-abbs) $127.3K (4.0%), and Q5118 (bevacizumab-bvzr) $61.9K (2.0%), alongside J2506 pegfilgrastim (216 claims, $16K revenue, 0.5% — ranks #501 of 586, 12th percentile). The presence of multiple biosimilar codes and supportive agents indicates active management of biologic therapy regimens and potential sensitivity to biologic-drug procurement and reimbursement dynamics.

    Enrollment tenure is long-standing: NPI enumerated since 2005-11-16 (~21 years ago), which indicates a persistent billing history and an established practice pattern. For payer and competitor analysis this tenure, combined with concentrated Medicare revenue and an infusion-heavy code mix, identifies a mature oncology outpatient operation whose revenue is materially driven by high-cost immunotherapies and associated infusion/E/M activity.

    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.

    116 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg26,800$40$1.2M
    J9299Injection, nivolumab, 1 mg20,400$20$489.6K
    J0897Injection, denosumab, 1 mg11,280$20$203K
    J1437Injection, ferric derisomaltose, 10 mg8,600$20$146.2K
    Q5126Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg2,490$60$136.9K
    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…1,520$90$131.9K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg3,540$40$127.3K
    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…1,800$60$102.6K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units15,200$10$91.2K
    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…1,010$90$87.4K

    Showing 1–10 of 116

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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 116 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    116 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927194020,700$40$896.3K
    J9299103015,660$20$432.9K
    Q51264103,210$60$174.1K
    J15698102,560$40$120.3K
    J14377206,450$20$107.8K
    J92649109,300$10$96.2K
    Q51155202,800$30$95.9K
    J0897171602,580$20$89.7K
    Q51183102,110$20$64.3K
    J2506710580$80$40.4K

    Showing 1–10 of 116

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Arkansas Radiation Therapy Institute IncARHematology & Oncology Physician$0$11M
    Central Arkansas Radiation Therapy Institute IncARRadiation Oncology Physician$6.7M$3.6M
    Kamal PatelARHematology & Oncology Physician$5.7M$0
    Ryan HallARHematology & Oncology Physician$4.6M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0
    Jamie BurtonARHematology & Oncology Physician$2.8M$0
    Kewen JaussARHematology & Oncology Physician$2.8M$0
    Mariann HarringtonARHematology & Oncology Physician$2.7M$0
    Appalanaidu SasapuARHematology & Oncology Physician$2.6M$0
    Derek MiddletonARHematology & Oncology Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Arkansas For Medical SciencesARGeneral Acute Care Hospital$0$87.2M
    University Of Arkansas For Medical SciencesARInternal Medicine Physician$0$28.6M
    University Of Arkansas For Medical SciencesARPediatrics Physician$0$27.6M
    Arkansas Department Of Health ImmunizationsARPublic Health or Welfare Agency$0$19.3M
    Baptist HealthARGeneral Acute Care Hospital$0$16.4M
    Arkansas Department Of Health Family Planning ClinicARPublic Health or Welfare Agency$0$15.6M
    Pediatrix Medical Group Of Arkansas PAARNeonatal-Perinatal Medicine Physician$0$14.6M
    Chenal Family Therapy, PlcARMental Health Counselor$0$12.2M
    Francis A. Allen School For Exceptional Children, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$11.9M
    Arkansas Department Of Health StdARPublic Health or Welfare Agency$0$8.4M

    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
    Lawrence Mendelsohn — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas