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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Mcclure
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    Joseph Mcclure — Billing Profile & Reimbursement Data

    NPI 1518948801 · Melbourne, FL · Medical Oncology Physician

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    Joseph Mcclure is a medical oncology physician provider located in Melbourne, Florida. This profile covers 50 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
    OrganizationJoseph Mcclure
    Address1130 Hickory St
    CityMelbourne
    StateFL
    ZIP32901
    TaxonomyMedical Oncology Physician
    NPI EnumeratedNovember 14, 2005

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

    Payer SourceTotal Paid
    Medicare$1.2M
    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.

    50 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg14,200$40$596.4K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg3,060$40$110.2K
    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…1,180$90$107.4K
    J0897Injection, denosumab, 1 mg4,620$20$83.2K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)2,550$30$81.6K
    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…570$90$50.4K
    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…370$100$34.9K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units4,280$10$25.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…140$130$19K
    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…310$60$19K

    Showing 1–10 of 50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 50 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    50 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927112621016,100$40$802.7K
    J01291201309,350$30$386.8K
    J1569901304,080$40$176.2K
    J08974031,0603,290$20$106.5K
    J14398610024,750$1$29.5K
    Q5106401103,030$10$26.7K
    96413195730200$100$26.1K
    992141,34232,760140$90$25K
    992338449,970100$90$20.1K
    J9217259360120$130$18.7K

    Showing 1–10 of 50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martin Memorial Medical Center IncFLGeneral Acute Care Hospital$0$26M
    Indian River Memorial Hospital IncFLGeneral Acute Care Hospital$0$9.3M
    Health First Medical Group, LLCFLGeneral Practice Physician$0$7.7M
    Julie BellFLAnatomic Pathology & Clinical Pathology Physician$3.3M$0
    Ashish DalalFLMedical Oncology Physician$3M$0
    Southwestern Vermont Medical Center Inc.VTInternal Medicine Physician$0$2.9M
    Coastal Care CorporationFLRadiology Clinic/Center$2.7M$800
    Amit BarochiaFLMedical Oncology Physician$2.4M$0
    Boris HavkinFLUrology Physician$2.3M$0
    Shawn CarterFLNuclear Medicine Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brevard Physician Associates, PLLCFLAnesthesiology Physician$0$12.7M
    Holmes Regional Medical Center, Inc.FLGeneral Acute Care Hospital$0$12.3M
    Circles Of Care, Inc.FLPsychiatric Hospital$0$11.8M
    Central Florida Kidney Centers IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$10.5M
    Florida Clinical Laboratory, IncFLClinical Medical Laboratory$4.7M$549K
    Sumeet TharejaFLSpecialist$4M$0
    Hetal VaishnavFLOphthalmology Physician$2M$0
    Melbourne Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$935.1K$1.1M
    Vrinda HershbergerFLRetina Specialist (Ophthalmology) Physician$1.7M$0
    Gary GanibanFLOphthalmology Physician$1.7M$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. Florida Distribution
    Joseph Mcclure — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida