Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoy Webb
    Ask Trek AI about this page

    Table of contents

    Progress1 / 12

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Roy Webb — Billing Profile & Reimbursement Data

    NPI 1346227048 · Hot Springs, AR · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Roy Webb — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Roy Webb is a hematology & oncology physician provider located in Hot Springs, Arkansas. This profile covers 68 Medicare and 2 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
    OrganizationRoy Webb
    Address133 Harmony Park
    CityHot Springs
    StateAR
    ZIP71913
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedDecember 23, 2005

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$210

    Key Findings

    This provider’s billing is overwhelmingly Medicare‑driven: total Medicare revenue is $1.9M versus total Medicaid revenue of $214, so the practice is effectively single‑payer with Medicare as the dominant commercial source of billed services. The tiny Medicaid tally indicates negligible participation or patient mix from that program relative to Medicare.

    Medicare revenue is highly concentrated in a small set of therapies: the precomputed top three Medicare codes account for 71.1% of this provider’s total Medicare revenue. The single largest line item is J9271 ($756.8K; 40.9% of Medicare revenue), followed by J9299 ($368.6K; 19.9%) and 78815 ($189.9K; 10.3%), indicating most income derives from a few high‑value oncology services.

    The code mix points to a specialty hematology/oncology practice focused on systemic immunotherapy and imaging support: substantial revenues from J9271 (pembrolizumab) and J9299 (nivolumab) indicate routine administration of checkpoint inhibitor therapy, while 78815 (PET/CT fusion imaging) at meaningful revenue supports staging and treatment monitoring tied to those therapies. Together these codes imply an outpatient infusion/oncology service line with integrated diagnostic imaging rather than a primarily procedural or surgical practice.

    On national competitive standing for the top revenue drivers, this provider is a typical to modest participant: J9271 ranks #522 of 1841 providers (71st percentile) and is described as typical/unremarkable volume, J9299 ranks #239 of 505 (53rd percentile) and is likewise typical/unremarkable, while 78815 ranks #1076 of 6566 (84th percentile) and is reported as a typical, unremarkable volume. These ranks suggest the provider is not a dominant national center for these agents but maintains routine, established use consistent with community oncology patterns.

    Several visit and infusion administration codes show comparatively high percentile placements that indicate steady outpatient throughput: 99213 is at the 98th percentile and labeled an "extreme outlier, far above typical national volume," 99214 is at the 96th percentile and labeled "notably above typical national volume," and 96413 is at the 95th percentile and labeled "notably above typical national volume." Additionally, 96372 is at the 98th percentile and described as "notably above typical national volume," while codes such as 96375 (95th percentile) are nonetheless described as typical/unremarkable. Collectively, these patterns point to above‑average E/M and infusion activity per provider relative to national peers.

    Medicaid activity is minimal and highly concentrated: total Medicaid revenue is $214, with 85025 (CBC) accounting for $208 and therefore 100.0% of the provider’s Medicaid revenue per the precomputed top‑3 figure. That single test ranks #298 of 331 in‑state (9th percentile) and implies the provider is a low‑volume Medicaid participant for laboratory services compared with in‑state peers.

    The provider has a long tenure in the NPI registry (enumerated on 2005-12-23, ~21 years ago), which supports interpretation of these patterns as stable practice behavior rather than a new or transient billing profile. Combined with the Medicare revenue scale and the focused code mix, the data are consistent with an established Hematology & Oncology physician operating an outpatient infusion/oncology service line with limited Medicaid caseload.

    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.

    68 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg17,600$40$756.8K
    J9299Injection, nivolumab, 1 mg15,360$20$368.6K
    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.…190$990$189.9K
    J0897Injection, denosumab, 1 mg5,400$20$97.2K
    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…790$90$67.5K
    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…880$60$53.7K
    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…620$90$53.3K
    J1437Injection, ferric derisomaltose, 10 mg2,700$20$43.2K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units6,700$10$40.2K
    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…170$120$21.2K

    Showing 1–10 of 68

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    68 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271254020,700$40$896.3K
    J9299173015,660$20$432.9K
    J143720206,450$20$107.8K
    J0897491602,580$20$89.7K
    788153010090$550$83.7K
    J088515404,070$10$38K
    964132180380$90$36.6K
    A95521740180$150$28.9K
    Q5122510250$90$24.9K
    J92172750100$130$20K

    Showing 1–10 of 68

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$10$210
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.30$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arkansas median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…298330680$10$48.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.492550330$1$10K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    American Oncology Partners PAOHHematology & Oncology Physician$0$11.8M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    David SmithMDHematology & Oncology Physician$6.4M$0
    Stephen DiversARHematology & Oncology Physician$3.9M$1.5K
    Robert MuldoonARHematology & Oncology Physician$3.2M$0
    Bradley SumrallGAMedical Oncology Physician$3.1M$0
    Linda HendricksGASpecialist$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rock Dental Arkansas PLLCARDentist$0$128.8M
    Superior Senior CareARIn Home Supportive Care Agency$0$22.5M
    Ouachita Regional Counseling & Mental Health Center, Inc.ARMental Health Clinic/Center (Including Community Mental Health Center)$0$22.4M
    Chi St Vincent Hospital Hot SpringsARGeneral Acute Care Hospital$0$16.4M
    Chi St. Vincent Medical Group Hot SpringsARSpecialist$0$13.8M
    Tlc Home Care Of ArkansasARIn Home Supportive Care Agency$0$7M
    Little Bitty City Therapeutic Services LLCARDevelopmental Disabilities Clinic/Center$0$6.9M
    Healthy Connections IncorporatedARFederally Qualified Health Center (FQHC)$0$5.5M
    Abilities Unlimited Of Hot Springs Ar IncARDevelopmentally Disabled Services Day Training Agency$0$4.9M
    A-o-m-s, PLLCAROral and Maxillofacial Surgery (Dentist)$0$4.2M

    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
    Roy Webb — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas
    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Roy Webb — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas