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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAlton Hallum
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    Alton Hallum — Billing Profile & Reimbursement Data

    NPI 1447229802 · Tucson, AZ · Gynecologic Oncology Physician

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    Alton Hallum is a gynecologic oncology physician provider located in Tucson, Arizona. This profile covers 25 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
    OrganizationAlton Hallum
    Address1845 W Orange Grove Rd
    CityTucson
    StateAZ
    ZIP85704
    TaxonomyGynecologic Oncology Physician
    NPI EnumeratedMarch 16, 2006

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

    Payer SourceTotal Paid
    Medicare$101.8K
    Medicaid$0

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…250$100$24.3K
    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…170$130$22.5K
    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…130$90$10.8K
    J0185Injection, aprepitant, 1 mg10,530$1$10.5K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…610$10$7.4K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…110$50$5.1K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…140$20$2.9K
    99213The 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…60$50$2.9K
    99195The provider removes venous blood from a patient, similar to a blood donation, to reduce the number of red blood cells or treat a high level of iron or potassium in the blood.30$70$1.7K
    96360The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.60$30$1.4K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9641387230190$100$24.8K
    992145,03510,410120$80$20.6K
    J34901610040$90$17.1K
    J018510308,450$1$12.8K
    992155023,27050$120$11.9K
    992135,8099,60080$60$9.6K
    9636524028060$50$4.9K
    964172913080$50$4.3K
    96367109150120$20$4K
    99195234030$30$3.9K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rachel HunterOHHospitalist Physician$348.7K$4K
    Kevin WietechaOHEndocrinology, Diabetes & Metabolism Physician$297K$2.8K
    Subramanian GnanaguruparanDECardiovascular Disease Physician$205.1K$0
    Suzanne HaroldOHEndocrinology, Diabetes & Metabolism Physician$136K$0
    Suzan ChengILRadiation Oncology Physician$133.3K$0
    Abdelhakim HusseinOHNeurology Physician$132.3K$0
    Evelyn RunerPAEndocrinology, Diabetes & Metabolism Physician$120.8K$0
    Kinjal DesaiTXNeurology Physician$116.8K$0
    Ataul QureshiOHAdvanced Heart Failure and Transplant Cardiology Physician$114.4K$0
    Damien EarlOHNeurology Physician$107.8K$2.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Ob Gyn PLLCAZObstetrics & Gynecology Physician$0$21.7M
    Rasw, PCAZRetina Specialist (Ophthalmology) Physician$0$11.6M
    Northwest Allied Physicians LLCAZGeneral Practice Physician$0$10.3M
    Sonora Behavioral Health Hospital, LLCAZPsychiatric Hospital$0$9.8M
    Southern Arizona Urgent Care LLCAZUrgent Care Clinic/Center$0$7.8M
    Al Shaafi Medical PCAZPediatrics Physician$0$7.6M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$0$7.6M
    Pediatrics Gps, IncAZPediatrics Physician$0$6.2M
    Pima Heart Asc LLCAZAmbulatory Surgical Clinic/Center$3.7M$59.7K
    Ryan WongAZRetina Specialist (Ophthalmology) Physician$2.8M$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. Arizona Distribution
    Alton Hallum — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona