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    OpenPayerNPI Medicare & MedicaidGregory Oakhill
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    Gregory Oakhill — Billing Profile & Reimbursement Data

    NPI 1356312466 · Fayetteville, AR · Hematology & Oncology Physician

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    Gregory Oakhill is a hematology & oncology physician provider located in Fayetteville, Arkansas. This profile covers 117 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
    OrganizationGregory Oakhill
    Address3232 N Northhills Blvd
    CityFayetteville
    StateAR
    ZIP72703
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJanuary 27, 2006

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the dataset: Total Medicare revenue is $2.8M while Total Medicaid revenue is none, indicating no Medicaid billing on file and a practice that, at least in the submitted data, depends exclusively on Medicare fee‑for‑service. Analysts should treat commercial and Medicaid activity as absent or not captured rather than distributed across payers.

    Revenue is heavily concentrated in oncology immunotherapies and related infusions: J9271 (pembrolizumab) generated $882K (36.0% of Medicare revenue), J9299 (nivolumab) generated $380.2K (15.5%), and J1561 (immune globulin) generated $198.1K (8.1%); the precomputed top‑3 codes account for 59.7% of this provider's Medicare revenue. This mix signals a practice whose margins and patient mix are driven by high‑cost biologic infusions.

    Operationally the code mix points to a full‑service oncology infusion practice that also manages systemic chemotherapy and supportive care: chemotherapy administration code 96413 appears among top codes, and supportive agents and biosimilars such as Q5108 (pegfilgrastim biosimilar), J0885 (epoetin alfa), Q5106 (epoetin biosimilar) and Q5118 (bevacizumab biosimilar) are billed, reflecting integrated infusion and supportive treatment workflows. Frequent lab monitoring codes (80053, 85025, 82784, 83735) further support this being an active treatment center with routine medical oncology monitoring.

    Imaging and diagnostic procedure volumes are an outlier feature of this profile: 74178 ranks #13 of 11397 (100th percentile; extreme outlier) and 70491 ranks #17 of 6170 (100th percentile; extreme outlier), while 71260 ranks at the 99th percentile (noted as extreme outlier). These extreme national percentile positions indicate the provider reports very high volumes for CT/MRI imaging tied to oncologic assessment, suggesting either onsite imaging capabilities or a billing relationship that captures substantial imaging activity.

    Competitive standing on the principal immunotherapy agents is not dominant nationally despite high revenue share: J9271 ranks #346 of 1841 (81th percentile; typical, unremarkable volume for this code) and J9299 ranks #228 of 505 (55th percentile; typical, unremarkable volume for this code), which characterizes the provider as a meaningful but not market‑leading user of these agents at the national level. Conversely, for several evaluation and management and imaging codes the provider is well above typical national volume—99214 ranks in the 97th percentile (notably above typical) and 99215 in the 99th percentile (extreme outlier)—pointing to a clinic with heavy visit intensity.

    Biosimilar utilization is present but not uniformly large: Q5115 (rituximab‑abbs) and Q5118 (bevacizumab‑bvzr) appear in the top codes, though Q5115 is listed with a low national rank (#78 of 79, 1th percentile) and labeled as typical, unremarkable volume for that code. This pattern suggests the practice uses biosimilars alongside originator agents but does not appear as a major national center for biosimilar administration.

    Tenure is long enough to imply established referral patterns: the NPI was enumerated 2006‑01‑27 (~20 years ago), indicating roughly two decades of billing history under this provider identifier, which supports interpreting current high‑volume imaging and infusion patterns as sustained operational behavior rather than a transient spike.

    For payer strategy and contracting, the combination of concentrated revenue in high‑cost immunotherapies (59.7% from the top three codes), extreme imaging volumes, and near‑absence of Medicaid activity suggests payers should treat this entity as a Medicare‑centered oncology infusion and imaging provider with limited Medicaid exposure; network decisions or rate negotiations should weigh high oncology drug spend and unusually high diagnostic imaging utilization in this provider's claims mix.

    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.

    117 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg21,000$40$882K
    J9299Injection, nivolumab, 1 mg15,840$20$380.2K
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg5,210$40$198.1K
    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.…170$1,000$172.7K
    J0897Injection, denosumab, 1 mg9,120$20$164.2K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…480$180$84.9K
    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…860$90$74.4K
    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…500$130$63.7K
    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…490$90$42.5K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.480$80$37.1K

    Showing 1–10 of 117

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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 117 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    117 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271194020,700$40$896.3K
    J9299153015,660$20$432.9K
    J15619105,930$40$216.4K
    Q511520202,800$30$95.9K
    J0897271602,580$20$89.7K
    788153510090$550$83.7K
    Q51189102,110$20$64.3K
    J088524404,070$10$38K
    964133380380$90$36.6K
    A95522040180$150$28.9K

    Showing 1–10 of 117

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Highlands Oncology Group PAARHematology & Oncology Physician$0$5.7M
    Matthew LockwoodARHematology & Oncology Physician$4.2M$0
    Eric SchaeferARHematology & Oncology Physician$3.6M$0
    Patrick TravisARHematology & Oncology Physician$3.3M$0
    K'anne ArthurARHematology & Oncology Physician$3.2M$0
    Stephan RosenfeldARHematology & Oncology Physician$2.3M$0
    J BeckARHematology & Oncology Physician$2.2M$0
    Dmitriy ZakARHematology & Oncology Physician$2.2M$0
    Mitchell RossARHematology & Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanders, Tompkins, Schiro, Landers And Sanders PLLCARPediatric Dentistry$0$30.4M
    Children's Therapy Services, Inc.ARPediatric Physical Therapist$0$29.2M
    Life Styles Inc.ARCase Management Agency$0$19.6M
    Washington Regional Medical CenterARGeneral Acute Care Hospital$0$10.9M
    Cross Therapy Services, LtdARPediatric Occupational Therapist$0$5.8M
    Medical Associates Of Northwest Arkansas PAARPediatrics Physician$0$5.8M
    Oral & Facial Surgery Center PAAROral and Maxillofacial Surgery (Dentist)$0$4.8M
    Thomas A. Sarna, Dds PLLCAROral and Maxillofacial Surgery Clinic/Center$0$3.4M
    Washington Regional Medical SystemARHospitalist Physician$0$3.4M
    The Therapy Spot,llcARSpeech-Language Pathologist$0$3.2M

    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
    Gregory Oakhill — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas