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    Robert Graham — Billing Profile & Reimbursement Data

    NPI 1306068135 · Chattanooga, TN · Hematology & Oncology Physician

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    Robert Graham is a hematology & oncology physician provider located in Chattanooga, Tennessee. This profile covers 76 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Graham
    Address1032 Mccallie Ave Ste 200
    CityChattanooga
    StateTN
    ZIP37403
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 2, 2007

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$19.8K

    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.

    76 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg11,800$40$519.2K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…100$1,030$104.3K
    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…790$120$97.6K
    A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie80$840$66.4K
    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…510$90$45K
    J0897Injection, denosumab, 1 mg2,040$20$30.6K
    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…360$80$30.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg320$80$26.2K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg70$340$24.8K
    J1439Injection, ferric carboxymaltose, 1 mg20,250$1$20.3K

    Showing 1–10 of 76

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 76 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    76 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271385017,400$40$776.1K
    A9596810130$820$118.5K
    J08971532402,940$20$85K
    J25063440430$80$46.7K
    J1439699034,130$1$38.6K
    788155315070$350$38.5K
    J1454327070$340$25.6K
    J921783110130$130$22K
    9641325240150$90$18.9K
    A9552134060$200$18.6K

    Showing 1–10 of 76

    • More pages

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$50$12.9K
    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…190$30$4.7K
    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…320$10$2.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,3953,760610$40$202.3K
    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…2,7474,050620$30$183.9K
    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…3915501,210$1$50.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chattanooga Hamilton County Hospital AuthorityTNGeneral Acute Care Hospital$0$52.4M
    Chattanooga Hamilton County Hospital AuthorityTNInternal Medicine Physician$0$27.9M
    Tennessee Oncology PLLCTNHematology & Oncology Physician$0$8.5M
    Chattanooga Hamilton County Hospital AuthorityTNCritical Access Hospital$0$5.6M
    James GrayTNRadiation Oncology Physician$4.9M$0
    Erlanger HealthTNGeneral Acute Care Hospital$0$3.3M
    Mark WomackTNHematology & Oncology Physician$2.4M$0
    Bertrand AnzTNHematology & Oncology Physician$2.4M$0
    Erlanger HealthTNInternal Medicine Physician$0$2.3M
    Dana ThompsonTNMedical Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regional Obstetrical Consultants PCTNMaternal & Fetal Medicine Physician$0$14.2M
    Tennessee River Physicians, PLLCTNEmergency Medicine Physician$0$3.9M
    Southeastern Emergency Services Of Memphis, P.C.TNEmergency Medicine Physician$0$3.8M
    Tennessee Interventional And Imaging Associates, PLLCTNDiagnostic Radiology Physician$0$3.4M
    Hearth Hospice Of Tennessee, LLCTNCommunity Based Hospice Care Agency$0$2.8M
    Harsha VardhanaTNMedical Oncology Physician$941.1K$66.6K
    Sumana NagireddyTNHematology & Oncology Physician$836.4K$0
    Brett GerwinTNOphthalmology Physician$725.5K$60
    Michael GoodmanTNGastroenterology Physician$473.6K$0
    Harigovinda ChallaTNDiagnostic Radiology Physician$154.9K$257.6K

    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. Tennessee Distribution
    Robert Graham — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Robert Graham — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee