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    OpenPayerNPI Medicare & MedicaidRoberto Leon Ferre
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    Roberto Leon Ferre — Billing Profile & Reimbursement Data

    NPI 1427361377 · Rochester, MN · Medical Oncology Physician

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    Roberto Leon Ferre is a medical oncology physician provider located in Rochester, Minnesota. This profile covers 46 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
    OrganizationRoberto Leon Ferre
    Address200 1st St Sw
    CityRochester
    StateMN
    ZIP55905
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJuly 21, 2010

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    ROBERTO LEON FERRE is enumerated as a Medical Oncology Physician (NPI enumerated: 2010-07-21 (~16 years ago)) practicing in ROCHESTER, MN and has reported Total Medicare revenue: $1.3M with no Medicaid billing on file. This makes the provider effectively single‑payer in the available data set, with Medicare representing the entirety of recorded public-payor revenue.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 81.9% of this provider's total Medicare revenue. That concentration is driven primarily by J9271 (52.1% of Medicare revenue) and J9144 (22.0% of Medicare revenue), with J9299 contributing 7.8%.

    The code mix indicates an outpatient oncology infusion operation focused on high-cost monoclonal antibodies and immune checkpoint inhibitors. The top codes are J9271 (pembrolizumab), J9144 (daratumumab + hyaluronidase), and J9299 (nivolumab), and the presence of chemotherapy administration codes such as 96413 (318 claims, $33.1K revenue) and infusion add‑ons (96417, 96415) supports a workflow centered on in‑clinic drug infusions and associated infusion services.

    J9271 shows meaningful scale for this provider: 17K claims and $697K revenue, and it ranks #553 of 1841 providers nationally (69th percentile; typical, unremarkable volume). This percentile position suggests the provider bills pembrolizumab at an above‑median but not market‑leading level relative to national peers.

    J9144 activity (7.7K claims, $294.5K revenue) ranks #319 of 615 providers nationally (48th percentile; typical, unremarkable volume), indicating participation near the middle of the national distribution for daratumumab billing. By contrast, J9299 (4.3K claims, $103.7K revenue) ranks #496 of 505 providers nationally (2th percentile; typical, unremarkable volume), signaling a minimal national presence for nivolumab relative to peers who bill that code.

    Per‑claim payment levels on the top three drugs are relatively modest in isolation—$41 avg paid/claim for J9271, $38 avg paid/claim for J9144, and $24 avg paid/claim for J9299—yet large claim counts concentrate revenue. The combination of high claim volumes for these drug codes and lower per‑claim averages explains how a small set of drug administrations can produce most of the $1.3M Medicare revenue.

    Operationally, the provider pairs infusion drug billing with evaluation and management and specialized infusion services, which is visible in non‑drug codes: 99214 (77 claims, $7.1K revenue), G0498 (36 claims, $7.6K revenue), and multiple chemotherapy administration/add‑on codes (96413, 96417, 96415). This mix is consistent with a clinic that delivers both clinician face‑to‑face management and the technical infusion services required for oncology biologics.

    The absence of any Medicaid billing on file highlights payer concentration risk and a Medicare-dependent revenue profile. Combined with long tenure (NPI enumerated: 2010-07-21 (~16 years ago)), the provider appears established in the Medicare oncology market but would show limited visibility or scale in Medicaid-managed markets based on the available data.

    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg17,000$40$697K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj7,750$40$294.5K
    J9299Injection, nivolumab, 1 mg4,320$20$103.7K
    J9034Injection, bendamustine hcl (bendeka), 1 mg3,070$10$39.9K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg1,590$20$35K
    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…320$100$33.1K
    J9264Injection, paclitaxel protein-bound particles, 1 mg2,450$10$24.4K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg160$130$20.7K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg910$20$20K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg160$80$12.3K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92712707,200$40$323.3K
    J91443503,780$40$163.7K
    J929917205,240$20$159.4K
    J25061520290$80$34.3K
    Q51181120990$20$33.7K
    J90341102,340$10$30.1K
    Q51198301,380$20$29.5K
    J92647102,760$10$27.1K
    J9217198080$130$17.1K
    964131623070$100$11.5K

    Showing 1–10 of 46

    Nearby Providers

    Other providers in the same ZIP code as Roberto Leon Ferre, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo ClinicMNMulti-Specialty Clinic/Center$0$74.3M
    Mayo Collaborative Services, IncMNClinical Medical Laboratory$6.5M$39.2M
    Mayo ClinicMNClinical Medical Laboratory$12.2M$15.2M
    Mayo ClinicMNMulti-Specialty Clinic/Center$0$10.9M
    Mayo Foundation For Medical Education & ResearchMNDurable Medical Equipment & Medical Supplies$9.3K$2.8M
    Vidhu KaushikMNClinical Pathology/Laboratory Medicine Physician$59.6K$1.9M
    Peter NoseworthyMNCardiovascular Disease Physician$1.1M$0
    Daniel ChildsMNMedical Oncology Physician$1.1M$0
    Robert JacobsonMNPediatrics Physician$975.6K$0
    Brittany SiontisMNMedical Oncology Physician$960.6K$0

    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. Minnesota Distribution
    Roberto Leon Ferre — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota