Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Phillip Hynes (NPI 1508881244)

Field	Value
Entity Type	Individual
Organization	Phillip Hynes
Address	4101 Tiger Lily Rd
City	Lincoln
State	NE
ZIP	68516
Taxonomy	Radiation Oncology Physician
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider has $1.1M in lifetime Medicare revenue and no Medicaid billing on file (none), making their public payer footprint effectively single‑payer Medicare rather than a mixed Medicare/Medicaid practice. The absence of Medicaid activity means state Medicaid network positioning and in‑state competitive comparisons are not observable from these claims.

Revenue is highly concentrated in a small set of radiation delivery and planning codes: the precomputed top‑3 codes account for 53.7% of this provider's total Medicare revenue. The three leading codes are G6015 ($348.4K, 32.4%), 77301 ($128.8K, 12.0%), and 77373 ($99.4K, 9.3%), indicating most Medicare dollars flow from advanced external beam techniques and stereotactic fractions.

The services mix — led by G6015, 77301, and 77373 — points to a radiation oncology practice oriented toward complex external beam treatments, specifically IMRT and stereotactic body radiation therapy. Significant billing for planning and delivery codes (for example, 77301 and 77290) and device/design codes (77334, 77338) suggests the operation includes substantial treatment planning, physics support, and IMRT/MLC customization capacity.

Competitive standing is mixed across specific procedure lines: G6015 ranks #225 of 1429 providers (84th percentile) and is described as typical/unremarkable volume, while 77301 ranks #258 of 3815 (93th percentile) also labeled typical/unremarkable. In contrast, several technical and planning codes are strong versus peers — G6002 ranks #139 of 2280 (94th percentile) and is flagged as notably above typical national volume, 77334 ranks #164 of 4463 (96th percentile) notably above typical, and 77290 ranks #115 of 3650 (97th percentile) notably above typical — together these suggest above‑average technical throughput despite otherwise modest national ranking on the single largest delivery code.

The claim counts and high percentiles on image‐guidance and planning codes indicate substantial technical resource intensity: G6002 has 952 claims ($53.3K, 5.0%) at the 94th percentile (notably above typical), 77334 has 380 claims ($35.7K, 3.3%) at the 96th percentile (notably above typical), and 77290 has 115 claims ($28.5K, 2.7%) at the 97th percentile (notably above typical). This pattern is consistent with frequent use of stereoscopic localization, sophisticated dosimetry, and device customization supporting IMRT/SBRT workflows.

Clinical mix includes stereotactic services alongside multi‑field IMRT: 77373 (single SBRT fraction) produced $99.4K (9.3%) across 134 claims and 77435 (entire SBRT course) contributed $14.4K (1.3%) across 30 claims, indicating the practice delivers both fractionated and course‑based stereotactic treatments rather than only routine external beam courses. The presence of both single‑fraction and multi‑fraction stereotactic codes points to a capability to treat small, high‑precision targets in addition to broader IMRT cases.

The provider has long NPI tenure, enumerated on 2006-07-13 (~20 years ago), which supports an interpretation of an established practice with stable Medicare billing patterns rather than a recent entrant. That longevity, combined with concentrated Medicare revenue and extensive technical billing, suggests established referral relationships for complex radiation oncology services.

From a payer perspective, opportunities and concentration risks are clear: with $1.1M concentrated and 53.7% of Medicare revenue coming from the top three codes, reimbursement or policy changes affecting IMRT/SBRT planning and delivery codes could materially impact this provider's revenue. Additionally, the absence of Medicaid billing (none) means payers evaluating network adequacy or access for Medicaid members should not rely on this provider as an in‑state Medicaid resource.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	1,310	$270	$348.4K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	90	$1,370	$128.8K
77373	This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…	130	$740	$99.4K
G6013	Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev	330	$170	$57.4K
77014	N/A	630	$90	$57.2K
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	950	$60	$53.3K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	360	$140	$51.4K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	380	$90	$35.7K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	90	$350	$31.9K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	620	$50	$30.9K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Phillip Hynes — 11 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	1	10	840	$270	$206.2K
77373	1	10	90	$740	$71.9K
G6013	2	10	250	$170	$50.9K
77427	5	30	250	$140	$36.9K
G6012	6	10	190	$170	$34.3K
77014	11	20	550	$50	$32.7K
77301	2	30	40	$590	$28.3K
G6002	2	10	390	$30	$21.2K
77336	1	10	310	$60	$16.7K
77334	3	30	170	$60	$11.7K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tara Kirkpatrick	NE	Urology Physician	$172.1K	$0
Simone Martin	NE	Acute Care Nurse Practitioner	$167.6K	$0
Andrew Lepinski	NE	Urology Physician	$131.4K	$0
Jacob Creevan	NE	Physician Assistant	$121.7K	$0
Logan Mcguffey	NE	Urology Physician	$121.5K	$0
Lance Wiebusch	NE	Urology Physician	$119.6K	$0
Thomas Brush	NE	Urology Physician	$119.1K	$0
Cason Bock	NE	Physician Assistant	$113.3K	$0
Krystle Hajek	NE	Nurse Practitioner	$113.3K	$0
Aaron Pomajzl	NE	Urology Physician	$105.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melvin Churchill	NE	Rheumatology Physician	$4.8M	$0
Lincoln Radiology Group PC	NE	Diagnostic Radiology Physician	$0	$4.5M
Elite Professionals Home Care LLC	NE	Home Health Agency	$0	$4.2M
Rick Chatwell	NE	Rheumatology Physician	$3.5M	$0
Lincoln Pediatric Group LLC	NE	Pediatrics Physician	$0	$2.3M
Scott Mcham	NE	Hematology & Oncology Physician	$1.9M	$0
Nebraska House Call Physicians, P.C.	NE	Internal Medicine Physician	$0	$1.7M
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Urology Surgical Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.4M	$190.5K
Wallace Peterson	NE	Hematology & Oncology Physician	$1.5M	$0

Phillip Hynes — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References