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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Delaune
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    Robert Delaune — Billing Profile & Reimbursement Data

    NPI 1497723514 · Maplewood, MN · Hematology & Oncology Physician

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    Robert Delaune is a hematology & oncology physician provider located in Maplewood, Minnesota. This profile covers 71 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
    OrganizationRobert Delaune
    Address1580 Beam Ave
    CityMaplewood
    StateMN
    ZIP55109
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 14, 2006

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    ROBERT DELAUNE’s Medicare billing is heavily oncology infusion–centric: the top Medicare revenue drivers are J9271 (pembrolizumab) with $941.6K revenue and 21.4K claims, J9299 (nivolumab) with $248.2K revenue and 10.3K claims, and Q5118 (bevacizumab-bvzr biosimilar) with $73.8K revenue and 3.2K claims. These codes are all infusion or injectable oncology agents, indicating the provider operates a treatment-focused oncology practice that delivers high volumes of immunotherapy and targeted biologic infusions rather than primarily procedural or surgical oncology services.

    Revenue concentration is high: the precomputed top-3 Medicare codes account for 70.0% of this provider's total Medicare revenue, with J9271 alone representing 52.1% of Medicare revenue ($941.6K). This degree of concentration implies that overall Medicare revenue performance is strongly tied to utilization and reimbursement trends for a few expensive immunotherapy agents.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.9M while Medicaid shows none on file. The absence of Medicaid billing makes this practice highly dependent on Medicare reimbursement and patient populations covered by Medicare.

    Competitive standing is mixed across products: for J9271 the provider ranks #328 of 1841 nationally (82th percentile; typical, unremarkable volume for this code), indicating a solid but not dominant national position for pembrolizumab; by contrast J9299 ranks #343 of 505 (32th percentile; typical, unremarkable volume), reflecting a more modest national presence for nivolumab. The biosimilar Q5118 ranks #44 of 161 (73th percentile; typical, unremarkable volume), suggesting relatively stronger uptake of this bevacizumab biosimilar versus many peers.

    There are clear statistical outliers in the code mix: J9171 (docetaxel) is an extreme outlier, ranking #2 of 207 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), which signals an unusually high docetaxel administration volume compared with peers. Several other administration and chemotherapy codes are also high versus peers — 96413 ranks in the 93th percentile (notably above typical national volume) and 96375 ranks in the 95th percentile (notably above typical national volume) — underscoring an above-typical procedural throughput for chemotherapy delivery.

    The practice shows substantial supportive-care and ancillary service activity consistent with longitudinal oncology management: high claim counts but lower per-claim revenue appear for supportive agents such as J0881 (11.4K claims, $22.7K revenue) and J0185 (21.1K claims, $21.1K revenue), while E/M and lab services (99214: 595 claims, $55.3K; 80053: 911 claims, $9.1K; 85025: 1.1K claims, $8.6K) reflect ongoing patient monitoring and management. This mix suggests office-based management of complex oncology patients with both drug administration and routine monitoring coded alongside high-cost immunotherapies.

    Operational scale for infusion services is evident from claim volumes for key drugs and infusion-related codes: J9271 shows 21.4K claims and J9299 shows 10.3K claims, and administration/add-on codes such as 96417 (175 claims, $9.1K) and 96375 (833 claims, $10K) are present at elevated percentiles. These volumes are consistent with a high-throughput infusion clinic or oncology practice model that delivers frequent, repeat biologic and chemotherapy administrations.

    Provider tenure is long-standing: the NPI was enumerated 2006-03-14 (~20 years ago), indicating prolonged participation in Medicare. That longevity, combined with concentrated Medicare revenue and no Medicaid activity on file, suggests an established, Medicare-focused oncology practice with a stable operational history.

    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.

    71 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg21,400$40$941.6K
    J9299Injection, nivolumab, 1 mg10,340$20$248.2K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg3,210$20$73.8K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg890$80$71K
    J0897Injection, denosumab, 1 mg3,600$20$68.4K
    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…550$110$58K
    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…600$90$55.3K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg360$130$48.3K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…30$1,220$30.4K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg1,240$20$26K

    Showing 1–10 of 71

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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 71 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    71 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92711707,200$40$323.3K
    J92995205,240$20$159.4K
    J089718901,770$20$50.8K
    J2506320290$80$34.3K
    Q5118220990$20$33.7K
    Q511916301,380$20$29.5K
    7881512718050$250$25.6K
    J088182010,680$1$25.4K
    A9552426030$370$17.2K
    J921778080$130$17.1K

    Showing 1–10 of 71

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holland CenterMNDevelopmentally Disabled Services Day Training Agency$0$16.3M
    Minnesota Oncology Hematology, PAMNHematology & Oncology Physician$0$8.1M
    Vladimir HugecMNHematology & Oncology Physician$1.8M$0
    Yang LiuMNHematology & Oncology Physician$1.4M$0
    David KingMNMedical Oncology Physician$1.3M$0
    Avina SinghMNHematology & Oncology Physician$971.9K$0
    Ben ZhangMNHematology & Oncology Physician$914.4K$0
    Uzma AliMNHematology & Oncology Physician$868.9K$0
    Samith Thomas KochuparambilMNHematology & Oncology Physician$827.8K$0
    Ryan FunkMNRadiation Oncology Physician$716.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem Ramsey, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$207.6M
    Community Dental Care IncMNGeneral Practice Dentistry$0$30.7M
    Senior Home Living IncMNPersonal Care Attendant$0$29.4M
    Rainbow Home Healthcare IncMNHome Health Agency$0$22.2M
    Healtheast St. John's HospitalMNGeneral Acute Care Hospital$0$17.9M
    Cochran Recovery ServicesMNSubstance Abuse Rehabilitation Facility$0$15.4M
    Ardent Home Health Care Inc.MNHome Health Agency$0$12.2M
    First Nations, LLCMNIn Home Supportive Care Agency$0$11.3M
    Hmong Minnesota Senior CenterMNAdult Day Care Clinic/Center$0$10M
    Healtheast Medical Research InstituteMNClinic/Center$0$7.4M

    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
    Robert Delaune — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota