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    OpenPayerNPI Medicare & MedicaidEugene Long
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    Eugene Long — Billing Profile & Reimbursement Data

    NPI 1477996965 · Augusta, GA · Hematology & Oncology Physician

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    Eugene Long is a hematology & oncology physician provider located in Augusta, Georgia. This profile covers 69 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
    OrganizationEugene Long
    Address3696 Wheeler Rd
    CityAugusta
    StateGA
    ZIP30909
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 15, 2013

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider is effectively a single-payer Medicare biller with Total Medicare revenue of $1.9M and no Medicaid billing on file; all utilization and revenue signals in the dataset are driven by Medicare activity rather than state Medicaid business. The absence of Medicaid claims indicates limited engagement with that payer population or Medicaid-covered services in this provider's practice footprint.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 68.8% of this provider's total Medicare revenue, signaling reliance on a small number of high-revenue drug codes rather than a broad mix of office or procedural services. That concentration suggests the practice’s financial performance is closely tied to utilization and reimbursement for a few specialty injectable therapies.

    The largest single revenue driver is J9271 (pembrolizumab): $670.8K and 35.2% of Medicare revenue, which makes this code the single biggest contributor to the practice’s Medicare book. While the provider’s national rank on J9271 (65th percentile, rank #640 of 1841) indicates a typical, unremarkable volume relative to peers, the absolute dollar share within this provider’s own portfolio is substantial and operationally material.

    J9173 (durvalumab) and J0897 (denosumab) are the other two dominant codes, accounting for $381.3K (20.0%) and $260.3K (13.6%) respectively; together with J9271 these three commercial immuno-oncology and supportive oncology injections make up the precomputed 68.8% share. Notably, J0897 ranks in the 94th percentile nationally (rank #578 of 10057) and is labeled "notably above typical national volume," indicating this provider administers denosumab at volumes well above most peers and may have a relative clinical focus or convenience-based offering that drives high utilization of that agent.

    The code mix and descriptions (multiple high-revenue oncology injections such as pembrolizumab, durvalumab, daratumumab, and denosumab, plus chemotherapy administration codes 96413 and 96365/96367) point to a hematology/oncology outpatient infusion practice that delivers systemic cancer therapies and supportive agents. The presence of both high-cost immunotherapy agents and routine infusion/E/M codes (e.g., 99214/99215) implies integrated clinic visits with on-site drug administration rather than a purely consultative role.

    On competitive standing, the provider shows a mixed picture: for some codes like J9271 the provider’s volume is typical nationally (65th percentile), while for J0897 and several E/M or infusion add-on codes the provider is in high percentiles (e.g., J0897 at 94th, 99215 at 96th, 96367 at 92nd), reflecting pockets of above-typical activity. These high-percentile codes suggest the provider is a major local deliverer of specific services (notably denosumab and higher-level E/M or repeated infusion services) even if overall national dominance across all oncology drugs is not evident.

    Tenure-wise, the provider’s NPI was enumerated on 2013-04-15 (~13 years ago), indicating a well-established billing history and continuity in Medicare reporting that supports interpreting these utilization patterns as stable rather than transient. That duration strengthens confidence that the observed revenue concentration reflects an established service mix rather than a very recent shift.

    Operationally, reliance on a few high-revenue injectable drugs creates exposure to changes in drug utilization, reimbursement, or access pathways (e.g., biosimilars, site-of-care shifts). Given that the top three Medicare codes drive 68.8% of Medicare revenue, formulary, prior authorization, or payer policy changes affecting pembrolizumab, durvalumab, or denosumab could materially affect practice revenues. Monitor those agents and related administration codes for trend changes.

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg15,600$40$670.8K
    J9173Injection, durvalumab, 10 mg6,150$60$381.3K
    J0897Injection, denosumab, 1 mg14,460$20$260.3K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj4,680$40$177.8K
    J1449Injection, eflapegrastim-xnst, 0.1 mg2,510$30$65.2K
    J1439Injection, ferric carboxymaltose, 1 mg53,250$1$53.3K
    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…520$90$48.2K
    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…500$90$45.1K
    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…310$130$41.4K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)9,970$1$19.9K

    Showing 1–10 of 69

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 69 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    69 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271174015,200$40$767.3K
    J91445109,450$40$321.2K
    J91731104,420$60$274.1K
    J0897192902,460$20$90.2K
    J14493102,640$30$74.9K
    J0881122015,200$1$37.1K
    J143953028,130$1$32.3K
    9641314160170$90$20.3K
    J921775120110$130$20K
    992141,54413,640120$80$17.8K

    Showing 1–10 of 69

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Retina Center LLCSCOphthalmology Physician$0$10.6M
    John PayneSCOphthalmology Physician$4M$0
    John WellsSCOphthalmology Physician$3.9M$0
    Joshua RobinsonMIOphthalmology Physician$3.7M$0
    Aaron FlandersFLHematology & Oncology Physician$3.5M$0
    William ClarkSCOphthalmology Physician$3.3M$0
    Barron FishburneSCRetina Specialist (Ophthalmology) Physician$3.3M$0
    Jeffrey GrossSCRetina Specialist (Ophthalmology) Physician$3M$0
    David JohnsonSCRetina Specialist (Ophthalmology) Physician$3M$0
    Oksana DemediukGARetina Specialist (Ophthalmology) Physician$2.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Faircloth Bakeman PartnershipGAOral and Maxillofacial Surgery (Dentist)$0$4M
    Augusta Obstetrics And Gynecology Specialists, LLCGAObstetrics & Gynecology Physician$0$3.7M
    Eye Surgery Center Of Augusta, LLCGAAmbulatory Surgical Clinic/Center$3.2M$0
    Pediatricare PmGAPediatrics Physician$0$2.8M
    Doctors Hospital Of Augusta LLCGAGeneral Acute Care Hospital$0$2.2M
    Joseph M Still Burn Centers, IncGASpecialist$0$2M
    Ranjit DhaliwalGARetina Specialist (Ophthalmology) Physician$1.9M$0
    Dennis MarcusGAOphthalmology Physician$1.8M$0
    David SquiresGAHematology & Oncology Physician$1.6M$0
    Aos Surgery Center LLCGAAmbulatory Surgical Clinic/Center$1.1M$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. Georgia Distribution
    Eugene Long — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia