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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPetros Nikolinakos
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    Petros Nikolinakos — Billing Profile & Reimbursement Data

    NPI 1306041900 · Athens, GA · Hematology & Oncology Physician

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    Petros Nikolinakos is a hematology & oncology physician provider located in Athens, Georgia. This profile covers 77 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
    OrganizationPetros Nikolinakos
    Address3320 Old Jefferson Rd Bldg 800
    CityAthens
    StateGA
    ZIP30607
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 15, 2007

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

    Payer SourceTotal Paid
    Medicare$4.6M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is the sole recorded public-payer footprint: Total Medicare revenue is $4.6M while Total Medicaid revenue is none (no Medicaid billing on file), making the practice effectively single-payer (Medicare) in the available data. The top three Medicare codes account for 87.3% of Medicare revenue, indicating a highly concentrated Medicare revenue base.

    A9607 is the primary revenue driver for this practice: 11.5K claims produced $2.8M in revenue and represent 61.7% of the provider’s Medicare revenue, reflecting a business focused on radioligand therapeutic services. The code ranks #11 of 44 providers nationally (77th percentile; typical, unremarkable volume for this code), so while A9607 dominates this provider’s revenue mix, the practice is not a national outlier in delivering this specific therapy.

    J9271 (pembrolizumab) is the second-largest Medicare contributor with 23.8K claims and $975.8K in revenue, accounting for 21.6% of Medicare revenue. This code ranks #252 of 1841 providers nationally (86th percentile; typical, unremarkable volume for this code), indicating substantial immunotherapy throughput relative to many peers but not a top-tier national volume leader.

    99214 (established outpatient E/M) drives meaningful visit volume: 2K claims and $179.8K in revenue (4.0% of Medicare revenue) and is flagged as an extreme outlier, ranking #1264 of 479517 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). That unusually high E/M volume suggests a heavy follow-up and chronic-care management load consistent with an active oncology practice managing ongoing treatment and surveillance.

    The practice’s broader code mix (96413 chemotherapy administration, J0897 denosumab, J1454 antiemetic combo, 96365/96367 infusion codes, and lab/imaging codes such as 85025, 80053, 74177 and 71260) supports a full-service outpatient oncology/hematology operation offering on-site infusion, supportive bone-health treatment, lab monitoring, and imaging coordination. Several supportive codes show notable activity—J0897 has 9.6K claims and $163.2K revenue (3.6% of Medicare revenue) and 96413 has 515 claims and $45.8K revenue—underscoring routine administration and ancillary services around systemic cancer therapy.

    There are pockets of elevated national standing on selected ancillary codes: J1454 ranks #22 of 422 providers nationally (95th percentile; notably above typical national volume for this code), 99205 ranks #2566 of 66257 (96th percentile; notably above typical national volume for this code), and 96372 ranks in the 98th percentile (notably above typical national volume). These rankings indicate the provider performs some high-intensity visits and procedures at rates above most peers, consistent with managing complex, high-acuity oncology cases.

    Revenue concentration in three codes (A9607, J9271, 99214) accounting for 87.3% of Medicare revenue creates both a clear specialization advantage and a concentration risk: the practice’s financial performance is heavily tied to continued delivery and reimbursement of radioligand therapy and immunotherapy services. Given the absence of Medicaid billing, payer diversification is limited in the available data and could affect payer-negotiation leverage and patient-mix resilience.

    The provider’s NPI has been enumerated since 2007-06-15 (~19 years ago), indicating an established presence in the market. Coupled with the high reliance on specialized oncology therapies and elevated E/M encounter volume, this tenure suggests an experienced oncology practice that has built referral and operational capacity to deliver advanced outpatient cancer treatments.

    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.

    77 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie11,480$240$2.8M
    J9271Injection, pembrolizumab, 1 mg23,800$40$975.8K
    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…2,020$90$179.8K
    J0897Injection, denosumab, 1 mg9,600$20$163.2K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg150$320$47.3K
    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…520$90$45.8K
    J3111Injection, romosozumab-aqqg, 1 mg5,880$10$41.2K
    J1437Injection, ferric derisomaltose, 10 mg2,600$20$39K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg500$80$38.3K
    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…510$60$30.7K

    Showing 1–10 of 77

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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 77 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    77 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96071106,090$250$1.6M
    J9271114015,200$40$767.3K
    J3111192012,810$10$172.9K
    J0897422902,460$20$90.2K
    J143718302,850$20$56.4K
    J2506310460$80$34.1K
    J088513303,970$10$26.6K
    J145412080$330$25.9K
    9641315160170$90$20.3K
    J3490195050$320$19.8K

    Showing 1–10 of 77

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Cancer & Blood Center LLCGAHematology & Oncology Physician$0$3.2M
    Charles BodineGAHematology & Oncology Physician$2.3M$0
    Gustavo WestinFLMedical Oncology Physician$2M$0
    James SplichalGAHematology & Oncology Physician$1.9M$0
    Kuang ChangGAHematology & Oncology Physician$1.8M$0
    Jeffrey ThomasGAHematology & Oncology Physician$1.7M$0
    Cynthia ShepherdGAHematology & Oncology Physician$1.6M$0
    Barry CharnickFLNuclear Radiology Physician$1.3M$0
    Frederick FlyntGAHematology & Oncology Physician$1M$0
    Gordon SchoenfeldGARadiation Oncology Physician$834K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mohan IyerGARetina Specialist (Ophthalmology) Physician$1.6M$0
    Victor CopelandGARetina Specialist (Ophthalmology) Physician$1.5M$0
    Athens Eye Surgery Center,llcGAAmbulatory Surgical Clinic/Center$1.2M$0
    Athens Radiology Associates PCGADiagnostic Radiology Physician$0$863K
    Tzu-chuan HuangGAHematology & Oncology Physician$469.2K$0
    Jeffrey WilliamsGAGastroenterology Physician$385.8K$0
    Athens Gastroenterology Endoscopy Center IncGAEndoscopy Clinic/Center$375.9K$0
    Walter SamsGAOphthalmology Physician$358.3K$0
    Emory PattersonGAOphthalmology Physician$326.1K$0
    Addie HillGAHematology & Oncology Physician$298.2K$0

    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. Georgia Distribution
    Petros Nikolinakos — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia