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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Tallarico
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    Michael Tallarico — Billing Profile & Reimbursement Data

    NPI 1467773036 · Dyer, IN · Medical Oncology Physician

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    Michael Tallarico is a medical oncology physician provider located in Dyer, Indiana. This profile covers 80 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
    OrganizationMichael Tallarico
    Address1001 Calumet Ave
    CityDyer
    StateIN
    ZIP46311
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJune 17, 2010

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only billing entity: Total Medicare revenue is $2.7M and there is no Medicaid billing on file, so payer mix is heavily concentrated on Medicare reimbursements. The top three Medicare codes account for 68.4% of this provider's total Medicare revenue, indicating limited diversification across payers and a revenue base concentrated in a few therapies.

    The code mix and top revenue drivers point to an outpatient oncology infusion practice focused on immunotherapy and bone-targeted therapy. The largest single revenue source is J9271 (pembrolizumab) with 27.6K claims and $1.2M revenue (47.6% of this provider's total Medicare revenue), complemented by J9022 (atezolizumab) with 4.5K claims and $287.2K revenue (11.5%) and J0897 (denosumab) with 12.8K claims and $230K revenue (9.2%), consistent with a practice that delivers high-volume biologic infusions and related supportive care.

    Revenue concentration is acute: J9271 alone represents 47.6% of Medicare revenue and the precomputed top-three share is 68.4%, meaning the practice’s financial performance is highly sensitive to utilization or reimbursement changes for a very small set of drugs. Operationally this implies procurement, scheduling, and reimbursement workflows are likely engineered around repeated high-volume delivery of a few high-cost injectable therapies.

    Competitive standing by code is mixed but shows above-average national presence for key oncology drugs. J9271 ranks #166 of 1841 providers nationally (91th percentile) and is labeled as "typical, unremarkable volume for this code," indicating the provider has a meaningful national-level footprint for pembrolizumab; J9022 ranks #20 of 39 (50th percentile) and is also labeled "typical, unremarkable volume for this code," suggesting middling representation for atezolizumab; J0897 ranks #732 of 10057 (93th percentile) and is labeled "typical, unremarkable volume for this code," which together show the practice is a solid but not uniquely dominant participant across these agents.

    Evaluation-and-management and infusion visit codes are notable outliers relative to national peers, implying substantial face-to-face and infusion-based follow-up care. The provider reports 2K claims for 99214 totaling $174.7K (7.0% of Medicare revenue) and this code is labeled an "extreme outlier, far above typical national volume for this code," while 99213 (846 claims, $51.6K, 2.1%) is labeled "notably above typical national volume for this code," consistent with a high-volume clinic visit load supporting infusion services.

    Chemotherapy administration and supportive-care utilization reinforce the infusion specialty profile: 96413 (chemotherapy administration) has 757 claims and $70.4K revenue (2.8%) and is labeled "notably above typical national volume for this code," while supportive agents such as J1449 (eflapegrastim-xnst) with $62.7K (2.5%) and Q5122 (pegfilgrastim-apgf) with $46.2K (1.9%) indicate routine use of growth-factor support and related oncology supportive treatments.

    High-volume phlebotomy and laboratory monitoring activity accompanies the infusion practice, suggesting substantial on-site or closely coordinated lab services to support treatment management. Several lab codes (multiple entries with ~2.4K claims each, e.g., 85025, 84075, 84132) appear in the top-25 list; 84132 in particular is ranked in the 99th percentile and labeled "notably above typical national volume for this code," while 36415 (2.5K claims, $20K) is labeled "typical, unremarkable volume for this code," together indicating frequent routine monitoring tied to oncology care.

    The provider has an established billing history with NPI enumerated 2010-06-17 (~16 years ago), which, combined with the sustained high-volume drug and visit billing profile, suggests a mature outpatient oncology operation. Given the concentration of revenue in a few high-cost biologics and heavy Medicare reliance, the practice appears operationally stable but exposed to shifts in drug utilization, formulary changes, or Medicare policy affecting those specific codes.

    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.

    80 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg27,600$40$1.2M
    J9022Injection, atezolizumab, 10 mg4,490$60$287.2K
    J0897Injection, denosumab, 1 mg12,780$20$230K
    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…1,960$90$174.7K
    J1437Injection, ferric derisomaltose, 10 mg6,800$20$115.6K
    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…760$90$70.4K
    J1449Injection, eflapegrastim-xnst, 0.1 mg2,510$30$62.7K
    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…850$60$51.6K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg440$100$46.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…420$90$36.5K

    Showing 1–10 of 80

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 80 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    80 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927142011,200$40$631.7K
    J90222104,910$60$314.9K
    J14495103,300$30$95.5K
    J0897122202,730$20$74.9K
    J14374202,050$20$60.3K
    Q5122410430$100$46.9K
    J2506410370$80$33.1K
    J92177990150$130$23K
    964135120140$90$19.1K
    992141310,540110$80$15.5K

    Showing 1–10 of 80

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Network IncINFamily Medicine Physician$0$33.9M
    St Catherine Hospital IncINGeneral Acute Care Hospital$0$32.3M
    Franciscan Health Crown PointINGeneral Acute Care Hospital$0$11.4M
    Mohamad KassarINHematology & Oncology Physician$4.7M$0
    Ramon LeeILRetina Specialist (Ophthalmology) Physician$4M$8.5K
    Sohail HasanILRetina Specialist (Ophthalmology) Physician$3.4M$34.2K
    Neel ShahINHematology & Oncology Physician$3.2M$0
    Raja DevanathanINPulmonary Disease Physician$3M$0
    Kourous RezaeiILRetina Specialist (Ophthalmology) Physician$2.7M$0
    Northwest Cancer Centers, PCINInternal Medicine Physician$0$2.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Franciscan Health Dyer & HammondINGeneral Acute Care Hospital$0$4.5M
    Tae'ni Chang-stroman M.d., P.C.INPediatrics Physician$0$3.5M
    Cannan Healthcare Services & Staffing IncINHome Health Agency$0$3.2M
    Pathology Consultants IncINAnatomic Pathology & Clinical Pathology Physician$0$2.9M
    Gowri RamadasINHematology & Oncology Physician$1.3M$0
    Shruti SinghINHematology & Oncology Physician$1.1M$0
    Kunwarjit DuggalINPhysical Medicine & Rehabilitation Physician$669.7K$18.8K
    Donna WardINDermatology Physician$579.4K$0
    Laura HoffmanINDermatology Physician$493.4K$0
    Trevor MarcotteINFamily Medicine Physician$477.8K$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. Indiana Distribution
    Michael Tallarico — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana