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    OpenPayerNPI Medicare & MedicaidAlexander Hu
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    Alexander Hu — Billing Profile & Reimbursement Data

    NPI 1306145859 · Flagstaff, AZ · Internal Medicine Physician

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    Alexander Hu is a internal medicine physician provider located in Flagstaff, Arizona. This profile covers 49 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
    OrganizationAlexander Hu
    Address399 S Malpais Ln
    CityFlagstaff
    StateAZ
    ZIP86001
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 23, 2011

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

    Payer SourceTotal Paid
    Medicare$3.8M
    Medicaid$0

    Key Findings

    The provider’s code mix is dominated by administration of high-cost biologics and infusion/chemotherapy services, not typical primary-care procedures. High-revenue drugs such as J0897, J3111, J1602 and J3262 appear alongside chemotherapy administration codes (96413, 96401, 96415), which together indicate the operation functions largely as an infusion/therapeutic administration site within an Internal Medicine taxonomy rather than a purely office-based primary care practice.

    Revenue is highly concentrated in a few injectable biologics: J0897 ($639.4K), J3111 ($541K), and J1602 ($536.2K) are the top three Medicare revenue drivers and, per the precomputed measure, account for 45.7% of this provider's total Medicare revenue. This concentration means a small set of products drives nearly half of reported Medicare receipts.

    Payer mix is effectively single-payer: the provider reports $3.8M in total Medicare revenue and has no Medicaid billing on file. The absence of Medicaid activity indicates material dependence on Medicare reimbursement and limited exposure to state Medicaid populations.

    For several top codes this provider ranks as a national high-volume outlier. J0897 ranks #65 of 10057 providers (99th percentile) and is described as an "extreme outlier, far above typical national volume", while J3111 (rank #36 of 970, 96th percentile) and J1602 (rank #42 of 1041, 96th percentile) are described as "notably above typical"—together these positions signal unusually large national activity in selected biologics.

    The provider shows demonstrable market leadership for specific biosimilars and infusion services: Q5121 is ranked #1 of 25 providers nationally (100th percentile; described as an "extreme outlier, far above typical national volume"), and chemotherapy administration codes such as 96413 and 96415 are also flagged as 100th-percentile extreme outliers. These rankings point to a distinctive specialization and local/national prominence in administering particular infused therapies and biosimilars.

    Office E&M volume is also unusually high for some visit codes, supporting an active clinic-based throughput model. 99214 (1.9K claims, $171.2K revenue) and 99204 (273 claims, $30.3K revenue) are each noted as extreme outliers by rank/percentile, which aligns with heavy patient-facing visit activity that likely supports infusion and follow-up care workflows.

    Lower-revenue laboratory and routine procedural codes (80053, 36415, 85025, 86140 and others) appear at typical or unremarkable national volumes and contribute relatively little revenue. The presence of these common lab and phlebotomy codes alongside high-volume biologics suggests the practice provides ancillary diagnostic services to support its infusion/therapeutic lines rather than deriving primary revenue from routine testing.

    The provider has an established enrollment history (NPI enumerated 2011-03-23, ~15 years ago), which indicates the current billing patterns have been sustained over a long tenure. Given the provider’s Medicare-only revenue base and high concentration in a few biologic and infusion codes, ongoing monitoring of reimbursement, formulary shifts, or utilization changes for those specific codes would be warranted from a payer or competitive-analysis perspective.

    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.

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg35,520$20$639.4K
    J3111Injection, romosozumab-aqqg, 1 mg67,620$10$541K
    J1602Injection, golimumab, 1 mg, for intravenous use53,620$10$536.2K
    J3262Injection, tocilizumab, 1 mg94,820$10$474.1K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)9,580$30$316K
    J9312Injection, rituximab, 10 mg4,360$60$274.4K
    J1745Injection, infliximab, excludes biosimilar, 10 mg9,010$30$234.3K
    J1306Injection, inclisiran, 1 mg19,030$10$171.3K
    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…1,920$90$171.2K
    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…1,190$100$118K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0129243014,700$30$494.5K
    J326262074,500$1$367.2K
    J160253024,040$10$316.2K
    J13065208,520$10$225.2K
    J93125203,250$60$212.6K
    J311134019,530$10$178.8K
    J089762602,940$20$115.6K
    J17453402,980$30$103.9K
    86235620130$20$59.5K
    Q5121110990$20$36.3K

    Showing 1–10 of 49

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arizona Arthritis & Rheumatology Associates P CAZRheumatology Physician$0$11.2M
    Nehad SolomanAZRheumatology Physician$5.1M$0
    Areena SwarupAZRheumatology Physician$3.6M$0
    Saima ChohanAZRheumatology Physician$3.5M$0
    Nikila KumarAZRheumatology Physician$3M$0
    John TesserAZRheumatology Physician$3M$0
    Daniel KreutzAZRheumatology Physician$2.8M$0
    Mona AminAZRheumatology Physician$2.7M$0
    Joonhee LimAZRheumatology Physician$2.3M$0
    Andrew SharobeemAZRheumatology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Flagstaff Medical CenterAZGeneral Acute Care Hospital$0$63.3M
    Flagstaff Medical CenterAZLand Ambulance$0$46.2M
    Flagstaff Medical CenterAZAir Ambulance$0$37.6M
    New Life Wellness FlagstaffAZCommunity/Behavioral Health Agency$0$14.6M
    Northern Arizona Healthcare CorporationAZFamily Medicine Physician$0$11.4M
    Flagstaff Emergency PhysiciansAZEmergency Medicine Physician$0$10.4M
    Flagstaff Dentistry 4 Kids, PLLCAZGeneral Practice Dentistry$0$10.4M
    North Country Healthcare, Inc.AZPediatrics Physician$0$7.5M
    Emeritol Lo Flagstaff LLCAZAssisted Living Facility$0$6.5M
    Flagstaff Bone & Joint Surgical Center, LLCAZAmbulatory Surgical Clinic/Center$3.1M$229K

    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. Arizona Distribution
    Alexander Hu — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona