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 & MedicaidBrandon Mancini
    Ask Trek AI about this page

    Brandon Mancini — Billing Profile & Reimbursement Data

    NPI 1366731838 · Grand Rapids, MI · Radiation Oncology Physician

    Customize your policy alerts

    Sign up for Brandon Mancini — 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.

    Brandon Mancini is a radiation oncology physician provider located in Grand Rapids, Michigan. This profile covers 8 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.

    Table of contents

    Progress1 / 9

    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

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrandon Mancini
    Address109 Michigan St Nw Ste 200
    CityGrand Rapids
    StateMI
    ZIP49503
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedApril 5, 2011

    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 billing is highly concentrated in radioligand therapy: A9607 accounts for $4.5M of the $4.6M in total Medicare revenue and represents 97.8% of this provider's total Medicare revenue, with 23.2K claims and an average paid/claim of $193. The code’s profile and dollar volume indicate the practice is primarily delivering lutetium Lu 177 vipivotide tetraxetan therapeutic services rather than a broad mix of outpatient care.

    The top three Medicare codes (A9607, 78832, 79101) together account for 99.6% of this provider's total Medicare revenue, signaling extreme revenue concentration in a small set of nuclear medicine and radiopharmaceutical procedures. That concentration implies the practice’s financial performance is highly dependent on continued utilization and reimbursement of these specific therapies.

    Competitive standing for the leading therapeutic code is national-scale: A9607 ranks #3 of 44 providers nationally and is in the 95th percentile, described as notably above typical national volume for this code. The provider similarly ranks highly on companion nuclear medicine services—78832 is #5 of 145 (97th percentile, notably above typical national volume) and 79101 is #7 of 302 (98th percentile, notably above typical national volume)—together indicating this clinician is a major national participant in these specialized service lines.

    Operational mix is procedure-forward with limited office evaluation-and-management volume: E/M codes such as 99205, 99214 and 99215 together contribute only small percentages of Medicare revenue (examples include 99205 at $9.2K and 99214 at $4.3K). This pattern suggests the provider’s role is centered on delivering high-volume therapeutic and imaging procedures rather than generating revenue from routine outpatient visits.

    The provider reports no Medicaid billing on file, making their patient mix effectively single-payer from the claims present; total Medicare revenue is $4.6M while Total Medicaid revenue is none. For payers and network analysts, this means competitive and risk assessments should focus on Medicare reimbursement policies and contractor relationships for radiopharmaceuticals rather than state Medicaid program dynamics.

    Several billed codes show unusual payment characteristics relative to peers: A9607’s high rank and the “notably above typical national volume” label indicate statistically exceptional utilization for a radiopharmaceutical, while 78832 and 79101 are also characterized as notably above typical national volume. These descriptors point to the provider being an outlier in delivering concentrated nuclear medicine and therapeutic radiopharmaceutical services at scale compared with national peers.

    Tenure data show the NPI was enumerated on 2011-04-05 (~15 years ago), indicating a sustained presence in the market; the combination of long tenure and high volumes on a few specialty codes suggests an established, procedure-focused practice rather than recent episodic billing. This longevity should be considered when evaluating referral patterns and institutional relationships for specialized radioligand therapy in the region.

    There are signs of billing items with negligible financial impact despite claim counts—J2405 shows 136 claims but $0 avg paid/claim and $0 revenue—highlighting areas where submitted services do not translate to Medicare payments. Analysts should treat such entries as administratively present but financially immaterial when modeling expected revenue streams or service-line profitability.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie23,210$190$4.5M
    78832The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…110$620$69.6K
    79101In this procedure, the provider injects a radiopharmaceutical substance into the venous blood stream to treat the patient’s condition.130$110$14.1K
    99205The provider sees a new 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 provider…60$150$9.2K
    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…50$80$4.3K
    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…30$120$3.2K
    99204The provider sees a new 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 provider…20$110$1.9K
    J2405Injection, ondansetron hydrochloride, per 1 mg140$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A960711012,700$190$2.5M
    7883211060$570$35.2K
    992149,78215,47080$80$11.4K
    992152,4454,42030$110$6K
    992051211,68020$150$4.3K
    992044,3976,28030$110$4.2K
    7910111020$90$3.6K
    J24051930270$1$40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mazen MislmaniMIRadiation Oncology Physician$472.8K$0
    Jeremiah JohnsMIEmergency Medicine Physician$432.1K$0
    Simon BrownMIRadiation Oncology Physician$425.8K$0
    Laura AshackMIRadiation Oncology Physician$386.6K$0
    Muhammad HameedMIMedical Oncology Physician$348.5K$0
    Garth TormoenNVRadiation Oncology Physician$321K$0
    Mohamad FakhreddineTXRadiation Oncology Physician$271.7K$0
    Anna HoekstraMIGynecologic Oncology Physician$40.1K$0
    Gabriel FineCANuclear Radiology Physician$22.8K$0
    Michael FranciscoAZPhysician Assistant$19.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health HospitalsMIGeneral Acute Care Hospital$0$243.2M
    Kent County Cmh AuthorityMICommunity/Behavioral Health Agency$0$97.6M
    Saint Mary's Health ServicesMIGeneral Acute Care Hospital$0$92M
    Cancer & Hematology Centers Of Western Mi, P.C.MISpecialist$0$59.5M
    Cherry Street Services, Inc.MIFederally Qualified Health Center (FQHC)$0$50.9M
    Ecs Western Michigan PCMIEmergency Medicine Physician$0$50.6M
    Neo Natal Associates PlcMINeonatal-Perinatal Medicine Physician$0$27.7M
    Spectrum Health HospitalsMIHospitalist Physician$0$25.2M
    Life Ems IncMILand Ambulance$3.1M$22M
    Cherry Street Services, Inc.MIFederally Qualified Health Center (FQHC)$0$24.6M

    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. Michigan Distribution
    Brandon Mancini — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan