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    OpenPayerNPI Medicare & MedicaidMary Wells
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    Mary Wells — Billing Profile & Reimbursement Data

    NPI 1538508296 · Omaha, NE · Hematology & Oncology Physician

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    Mary Wells is a hematology & oncology physician provider located in Omaha, Nebraska. This profile covers 41 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
    OrganizationMary Wells
    Address8303 Dodge St Ste 250
    CityOmaha
    StateNE
    ZIP68114
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 17, 2013

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

    Payer SourceTotal Paid
    Medicare$935.6K
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue totals $935.6K with no Medicaid billing on file, making their publicly observed practice effectively single-payer (Medicare) in scope. The absence of any Medicaid claims indicates either no participation in that program or no billed Medicaid volume during the reporting period, so payer-mix analysis should treat this entity as primarily Medicare-driven.

    Revenue concentration is extremely high: the top three Medicare codes account for 88.1% of the provider’s total Medicare revenue. The majority of that concentrated revenue is tied to J9271, which alone represents $662.3K (71.7% of Medicare revenue), signaling that a single high-cost drug is the dominant revenue driver for this clinician.

    The code mix—dominated by J9271 (pembrolizumab) and supplemented by J1449 (eflapegrastim-xnst) and E/M code 99214—indicates a hematology/oncology practice focused on high-cost oncology drug administration combined with outpatient medical management. High volumes of drug administration codes such as 96413, 96417, and add-on chemotherapy administration codes further support that the practice delivers infusion-based cancer therapies rather than primarily office-based primary care.

    On competitive standing for major revenue codes, the provider is a modest to typical national participant: J9271 volume ranks #650 of 1841 providers (65th percentile), described as typical, and J1449 ranks #63 of 161 providers (58th percentile), also typical. For E/M visits like 99214 the provider sits at the 93rd percentile by rank (#35137 of 479517), which is relatively strong nationally for that office-visit code and suggests a consistent level of outpatient management activity compared with peers.

    Tenure: this NPI has been enumerated since 2013-06-17 (~13 years ago), indicating an established billing history that aligns with a sustained specialty practice rather than a recent entrant. That length of enrollment supports interpretation of patterns (for example, long-term reliance on oncology drug administration) as persistent rather than transient.

    Although many infusion- and oncology-related administration codes appear at typical volumes by national percentile, several supportive services—such as 96367, 96375, and 96365—also appear across the top-25 list, reflecting routine use of sequential and initial infusions typical of oncology infusion centers. These lower-dollar but frequent infusion codes collectively reinforce the operational model of repeat IV infusions for cancer care.

    Given the dominance of a single high-cost biologic (J9271) in revenue mix, this provider’s financial exposure and operational focus are concentrated on pembrolizumab administration. Payer negotiations, formulary shifts, or changes in oncology treatment patterns for that drug would therefore likely have a disproportionate effect on the provider’s Medicare revenue.

    National percentile ranks for many chemotherapy and infusion codes are in the middle-to-upper range (for example, 96413 at the 78th percentile and 96375 at the 72nd percentile), which indicates consistent, above-average chemotherapy administration activity relative to national peers but not at the level of a top outlier. This positions the practice as a reliable regional contributor of oncology infusion services rather than an unusually high-volume national hub.

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg15,400$40$662.3K
    J1449Injection, eflapegrastim-xnst, 0.1 mg3,960$30$99K
    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$53.2K
    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…320$90$30.5K
    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…110$130$14.1K
    J1439Injection, ferric carboxymaltose, 1 mg12,750$1$12.8K
    99204The provider sees a new 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 provider…50$110$5.9K
    99205The provider sees a new 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 provider…30$160$5.3K
    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…80$60$4.6K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…80$50$3.8K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271123014,400$40$671.6K
    J14493103,700$30$92.4K
    J1439273025,880$1$26.4K
    96413248060$90$18.2K
    992142453,210110$70$14.9K
    9923365683080$90$11.7K
    J349083060$160$11.3K
    964013130120$50$11K
    992328271,39080$60$8.6K
    992131,7133,22090$50$7.9K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stefano TarantoloNEHematology & Oncology Physician$3.2M$0
    Samuel MehrNENuclear Medicine Physician$2.5M$0
    Ralph HaukeNEHematology & Oncology Physician$2.5M$0
    Gamini SooriyaarachchiFLMedical Oncology Physician$2.2M$0
    Ryan RamaekersNEHematology & Oncology Physician$2.1M$0
    Joel MichalskiNEInternal Medicine Physician$2M$0
    Yungpo SuNEHematology & Oncology Physician$1.9M$0
    Margaret BlockNEHematology & Oncology Physician$1.7M$0
    Robert LangdonNEHematology & Oncology Physician$1.4M$0
    Muhammad HaroonNEHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Hospital & Medical CenterNEChildren's Hospital$0$89.8M
    Children's PhysiciansNEPediatrics Physician$0$39.4M
    Nebraska Pediatric Practice, IncNEPediatrics Physician$0$29M
    Physicians Clinic IncNEFamily Medicine Physician$0$20.5M
    Nebraska Methodist HospitalNEGeneral Acute Care Hospital$0$14.5M
    Smiles 4 Kids PCNEGeneral Practice Dentistry$0$11.5M
    Children's HospitalNEPediatric Emergency Medicine (Pediatrics) Physician$0$8.4M
    Nebraska Methodist HospitalNEEmergency Medicine Physician$0$5.3M
    Unmc College Of DentistryNEDentist$0$4.8M
    Stones Worth Stepping, P.C.NEOccupational Therapist$0$4.7M

    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. Nebraska Distribution
    Mary Wells — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska