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    OpenPayerNPI Medicare & MedicaidJames Clarke
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    James Clarke — Billing Profile & Reimbursement Data

    NPI 1295959724 · Orem, UT · Radiation Oncology Physician

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    James Clarke is a radiation oncology physician provider located in Orem, Utah. This profile covers 26 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
    OrganizationJames Clarke
    Address700 W 800 N Ste 140
    CityOrem
    StateUT
    ZIP84057
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedApril 13, 2007

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

    Payer SourceTotal Paid
    Medicare$491.6K
    Medicaid$0

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session620$270$168.8K
    77014N/A650$90$60K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…40$1,400$55.9K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…20$2,180$52.3K
    77772In this procedure, the provider places a catheter, within the cancerous tissue (interstitial) or within the body cavity (intracavitary), loaded with a high energy radioactive substance to treat the…40$680$23.9K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…140$150$20.4K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg150$130$19.3K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…40$360$14.6K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…210$70$13.5K
    77318In this procedure, the provider does intermediate level isodose planning for brachytherapy where he uses over 10 radiation sources or over 12 channels for afterloading. Isodose means a radiation dose…20$350$7.7K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015410440$290$167.1K
    7777231050$590$31.9K
    5587431020$1,550$31.1K
    7730153030$620$24K
    J92171330140$130$23.8K
    77014640360$50$22.8K
    774271240110$150$17.8K
    7733863030$210$8.7K
    7733641090$70$8.7K
    7731831020$310$7.8K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$23.6M
    Davis Hospital & Medical Center LPUTGeneral Acute Care Hospital$0$22.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$15.6M
    Marian Health Center-smhcIAGeneral Acute Care Hospital$0$15.5M
    Salt Lake Regional Medical Center LPUTGeneral Acute Care Hospital$0$9.8M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$8.9M
    Catholic Health Initiatives ColoradoCORural Health Clinic/Center$0$8.3M
    Catholic Health Iniatives ColoradoCOGeneral Acute Care Hospital$0$7.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$7.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Health Specialists, LLCUTHome Health Agency$0$16.1M
    Timpanogos Regional Medical Services, Inc.UTGeneral Acute Care Hospital$0$7.8M
    Kids On The Move, Inc.UTDevelopmentally Disabled Services Day Training Agency$0$6.7M
    Papilion Integrated Recovery CentersUTSubstance Use Disorder Rehabilitation Clinic/Center$0$6.2M
    Chrysalis Utah, LLCUTIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.6M
    Kids On The Move, IncUTDevelopmentally Disabled Services Day Training Agency$0$4.4M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$4.2M
    City Of Orem CorporationUTLand Ambulance$235.5K$3.1M
    Central Utah Surgicenter, LLCUTAmbulatory Surgical Clinic/Center$2.1M$28K
    Hautoa Enterprises LLCUTSubstance Abuse Rehabilitation Facility$49.8K$1.9M

    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. Utah Distribution
    James Clarke — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah