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NPI 1437108974 · Murray, UT · Medical Oncology Physician
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William Nibley is a medical oncology physician provider located in Murray, Utah. This profile covers 33 Medicare and 3 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | William Nibley |
| Address | 5131 Cottonwood St |
| City | Murray |
| State | UT |
| ZIP | 84107 |
| Taxonomy | Medical Oncology Physician |
| NPI Enumerated | May 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $326K |
| Medicare | $166K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
33 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 430 | $90 | $36.5K |
| J0897 | Injection, denosumab, 1 mg | 1,800 | $20 | $32.4K |
| 96413 | Chemotherapy 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… | 200 | $90 | $18.3K |
| 99213 | The 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… | 230 | $60 | $12.7K |
| 99215 | The 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… | 100 | $120 | $12K |
| J1627 | Injection, granisetron, extended-release, 0.1 mg | 2,300 | $10 | $11.5K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 630 | $10 | $6.3K |
| J0185 | Injection, aprepitant, 1 mg | 5,980 | $1 | $6K |
| 85025 | A 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… | 710 | $10 | $5.7K |
| J3490 | Unclassified drugs | 30 | $140 | $3.7K |
Showing 1–10 of 33
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
33 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J3490 | 20 | 30 | 80 | $1,690 | $199.5K |
| J0897 | 43 | 70 | 1,920 | $20 | $67.2K |
| J1627 | 9 | 10 | 3,600 | $1 | $20.1K |
| 96413 | 11 | 50 | 100 | $90 | $13.8K |
| 99214 | 302 | 4,080 | 80 | $80 | $11.6K |
| J0185 | 8 | 10 | 6,110 | $1 | $10.9K |
| 99215 | 237 | 1,190 | 40 | $110 | $7.5K |
| 99213 | 463 | 3,680 | 60 | $50 | $6.4K |
| 96365 | 65 | 80 | 90 | $40 | $5.2K |
| 99223 | 483 | 760 | 30 | $130 | $4.9K |
Showing 1–10 of 33
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 85025 | A 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… | 310 | $1,020 | $319.6K |
| 99214 | The 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… | 160 | $40 | $5.6K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 110 | $10 | $650 |
How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Utah median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 85025 | A 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… | 76 | 120 | 1,100 | $30 | $186.6K |
| 99214 | The 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… | 726 | 1,340 | 200 | $80 | $144K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 86 | 100 | 2,770 | $10 | $75.1K |
Other providers in the same ZIP code as William Nibley, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ihc Health Services, Inc. | UT | General Acute Care Hospital | $0 | $68.7M |
| Ihc Health Services, Inc. | UT | Clinical Medical Laboratory | $2.7M | $17.9M |
| Alpine Home Medical Equipment LLC | UT | Oxygen Equipment & Supplies (DME) | $0 | $18.6M |
| Ddi Vantage | UT | Developmentally Disabled Services Day Training Agency | $0 | $18.4M |
| Utah Emergency Physicians | UT | Emergency Medicine Physician | $0 | $14.5M |
| Home Caregivers Partnership, LLC | UT | Home Health Agency | $0 | $10.4M |
| Gcs Foundation | UT | Supports Brokerage Agency | $0 | $6.2M |
| Ihc Health Services Inc | UT | Diagnostic Radiology Physician | $0 | $6.1M |
| Joel Herring | UT | Retina Specialist (Ophthalmology) Physician | $5.6M | $23.7K |
| Project Reality | UT | Mental Health Counselor | $0 | $5.1M |
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