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    OpenPayerNPI Medicare & MedicaidJames Russo
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    James Russo — Billing Profile & Reimbursement Data

    NPI 1376700591 · Lafayette, LA · Radiation Oncology Physician

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    James Russo is a radiation oncology physician provider located in Lafayette, Louisiana. This profile covers 38 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
    OrganizationJames Russo
    Address120 Rue Louis Xiv
    CityLafayette
    StateLA
    ZIP70508
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMay 16, 2008

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

    Payer SourceTotal Paid
    Medicare$3.5M
    Medicaid$0

    Key Findings

    This provider’s revenue is concentrated almost entirely in Medicare: lifetime Medicare revenue is $3.5M while there is no Medicaid billing on file, so the practice operates effectively as a single‑payer (Medicare) revenue stream. The absence of any Medicaid activity suggests either limited participation in state Medicaid programs or that the practice’s patient mix is dominated by Medicare beneficiaries.

    Revenue is heavily concentrated in a very small set of delivery codes: the precomputed top three Medicare codes (G6015, 77014, G0340) account for 68.9% of this provider’s Medicare revenue. In dollar terms those three codes are G6015 $1.5M (44.5%), 77014 $535.1K (15.5%), and G0340 $306K (8.9%), indicating that treatment delivery and image‑guided stereotactic procedures drive most income.

    The code mix and descriptions indicate a high‑volume radiation oncology operation focused on advanced external beam techniques: G6015 (intensity modulated treatment delivery) is the single largest revenue source at $1.5M and 6.2K claims, and 77301 (IMRT planning) contributes $224.1K. Substantial billing for 77427 ($174.1K) and other IMRT/therapy planning codes shows the practice performs both complex planning and large volumes of treatment delivery rather than only consultative visits.

    The provider shows integrated technical and physics capacity consistent with an in‑house comprehensive radiation program: high volumes for 77336 (1.3K claims, $77.8K; ranks #3 of 1488, 100th percentile; extreme outlier), 77338 (286 claims, $96.4K; ranks #13 of 3807, 100th percentile; extreme outlier), and 77300 (1.2K claims, $57.7K; ranks #54 of 4719, 99th percentile; extreme outlier). These lines support ongoing medical physics, dosimetry, and MLC device work that typically accompany high‑throughput IMRT centers.

    Stereotactic and image‑guided radiosurgery comprise a meaningful specialty service line for this provider: G0340 ($306K; ranks #8 of 122 providers nationally, 94th percentile; notably above typical) and G0339 ($111K; ranks #7 of 94, 94th percentile; typical, unremarkable volume) together indicate active use of robotic linear accelerator stereotactic treatments and fractionated SBRT approaches. Additional codes such as 77295 ($24.4K; ranks #120 of 3008, 96th percentile; notably above typical) and CT imaging 74178 ($42.8K; ranks #72 of 11397, 99th percentile; extreme outlier) show the practice performs image guidance and planning imaging in‑house.

    On national competitive standing the provider is a clear outlier for several treatment delivery codes: G6015 and 77014 both rank #2 nationally with 100th percentile designations and are labeled extreme outliers, and 77301 ranks in the 99th percentile as an extreme outlier. These high ranks and percentile labels indicate the provider is among the highest‑volume practitioners in the country for core radiation delivery services rather than a modest local participant.

    Despite the dominance of high‑tech therapy codes, the practice also bills routine evaluation and management visits at modest levels—99204 ($19.5K), 99213 ($19.1K), and 99214 ($17K)—which together are small shares of revenue compared with treatment delivery codes. This suggests most patient encounters billed are therapy sessions and planning/technical work rather than revenue‑driving new consults or long office follow‑up visits.

    The provider has a long NPI tenure (enumerated 2008-05-16, approximately 18 years), which, combined with sustained high volumes and numerous extreme‑outlier code rankings, points to an established, mature radiation oncology practice. Given the reliance on a small set of high‑volume Medicare codes and no Medicaid revenue, payers and network analysts should view this as a specialized, Medicare‑centric treatment center with concentrated exposure to changes in radiation therapy reimbursement or utilization patterns.

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session6,160$250$1.5M
    77014N/A6,150$90$535K
    G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through…220$1,390$306K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…170$1,300$224.1K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…1,200$150$174.1K
    G0339Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment60$1,850$111K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…290$340$96.4K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…1,300$60$77.8K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…1,230$50$57.7K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.600$90$52.7K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0340110220$1,390$306K
    G6015120680$250$243.3K
    G033911060$1,850$111K
    77014150600$70$47.6K
    7730115030$760$31K
    77427160180$150$30.4K
    G6013510150$160$25.2K
    992142,2266,670110$80$16.5K
    77336120180$60$14.6K
    7733815030$260$11.1K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Shanda JacksonLAFamily Nurse Practitioner$4M$0
    Stephen PriceLAPhysician Assistant$3.4M$0
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0
    Russell FilecciaLACardiovascular Disease Physician$2.6M$0
    Ruben GrigorianLAOphthalmology Physician$2.4M$57.1K
    Jeffrey GossleeLARetina Specialist (Ophthalmology) Physician$2.3M$4.5K
    Jonathan PerkinsLARetina Specialist (Ophthalmology) Physician$1.7M$160.4K
    Reynard OdenheimerLANeurology Physician$86.8K$1.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acadian Ambulance Service, Inc.LAAir Ambulance$38.7M$422.7M
    Pediatric Group Of Acadiana, LLCLASpecialist$0$57.5M
    Leading Health Care Of LaLAIn Home Supportive Care Agency$0$57.4M
    Our Lady Of Lourdes Regional Medical Center, IncLAGeneral Acute Care Hospital$0$54.3M
    Sleep Management, L.L.C.LAOxygen Equipment & Supplies (DME)$0$41.8M
    Medi Trans, LLCLATransportation Broker$0$29.8M
    L & D Community Care, IncLAIn Home Supportive Care Agency$0$24.4M
    Acadiana Acute Care Associates, LLCLAEmergency Medicine Physician$0$20.4M
    Lourdes After Hours LLCLAUrgent Care Clinic/Center$0$20.2M
    Laboratory Corporation Of AmericaLAClinical Medical Laboratory$1.9M$12.4M

    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. Louisiana Distribution
    James Russo — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana