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 Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Daniel Ibach (NPI 1619947876)

Field	Value
Entity Type	Individual
Organization	Daniel Ibach
Address	9957 Sherrill Blvd
City	Knoxville
State	TN
ZIP	37932
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	January 23, 2006

Payer Source	Total Paid
Medicare	$4.3M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller with Total Medicare revenue of $4.3M and no Medicaid billing on file; the absence of Medicaid activity means payer mix is strongly single-payer (Medicare) and any competitive or operational conclusions should be read in that context.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 52.4% of this provider's total Medicare revenue, indicating more than half of earnings derive from a very narrow set of drug administration codes and therapies.

The code mix and top-performing codes indicate an oncology infusion practice focused on high-cost biologics and supportive care agents: J9271 (pembrolizumab), J0897 (denosumab), and J9144 (daratumumab) together produce the majority share and reflect routine administration of monoclonal antibodies and related oncology injections.

Competitive standing varies by drug: J0897 and J1437 are flagged as extreme outliers (99th percentile) where this provider bills far above typical national volume, suggesting unusually large throughput or a specialized service line for those agents, while J9271, J9144, and J9299 sit in more typical national percentiles (74th–86th) indicating ordinary to moderately high participation for those therapies.

Office visit and chemotherapy administration activity is present but secondary: E/M codes 99214 and 99215 plus infusion/chemotherapy administration codes like 96413 and 96365 appear in the top 25, with 99214 ranked at the 100th percentile (extreme outlier) while 96413 and 96365 are high-percentile but described as extreme or typical outlier levels, respectively, implying substantial in-office evaluation and chemotherapy infusion throughput in addition to drug administration.

Laboratory and supportive services are part of the care mix: CPT codes for CBC, CMP, ferritin, LDH, B12, and flow cytometry (85025, 80053, 82728, 83615, 82607, 88185) all appear in the top 25, indicating integrated diagnostic monitoring that supports ongoing oncology treatment and infusion management.

Tenure is long: the provider’s NPI was enumerated on 2006-01-23 (~20 years ago), so this is an established clinician with long-standing participation in Medicare, which can support sustained referral relationships and an entrenched infusion practice.

Several high-volume drug codes have low average paid-per-claim amounts (for example, J0897 paid $18/claim and J1437 paid $17/claim) but still generate large revenue totals through very high claim counts, indicating the practice’s economics rely on volume of administered dosing units for certain agents rather than high per-claim payments.

Medicare: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	22,200	$40	$954.6K
J0897	Injection, denosumab, 1 mg	33,960	$20	$611.3K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	15,480	$40	$588.2K
J9299	Injection, nivolumab, 1 mg	22,500	$20	$540K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	9,660	$40	$347.8K
J1437	Injection, ferric derisomaltose, 10 mg	14,800	$20	$251.6K
99214	The 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…	1,790	$90	$155.7K
Q5118	Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg	5,570	$30	$139.3K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	1,500	$90	$130.5K
96413	Chemotherapy 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…	870	$90	$81.9K

Showing 1–10 of 77

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 77 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Daniel Ibach — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

77 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	11	50	17,400	$40	$776.1K
J9299	8	20	21,010	$20	$487.5K
J9144	6	20	10,080	$40	$466.3K
J1569	6	30	3,030	$40	$175.2K
Q5118	1	10	5,570	$20	$138.5K
J1437	2	20	3,700	$20	$86.3K
J0897	2	240	2,940	$20	$85K
J0881	41	70	19,050	$1	$54.4K
88185	16	30	690	$20	$51.2K
J2506	3	40	430	$80	$46.7K

Showing 1–10 of 77

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mitchell Martin	TN	Hematology & Oncology Physician	$4.7M	$0
Ross Kerns	TN	Hematology & Oncology Physician	$4.5M	$0
Yi Feng	TN	Hematology & Oncology Physician	$4M	$0
Tennessee Cancer Specialists PLLC	TN	Hematology & Oncology Physician	$0	$2.7M
Dharmen Patel	TN	Hematology & Oncology Physician	$901.9K	$0
Tracy Dobbs	TN	Medical Oncology Physician	$853.5K	$0
Richard Lee	TN	Hematology & Oncology Physician	$643K	$0
Robert Schumaker	TN	Hematology & Oncology Physician	$587.3K	$0
Anil Tumkur	TN	Hematology & Oncology Physician	$491.1K	$24.3K
Saji Eapen	TN	Hematology & Oncology Physician	$487.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covenant Medical Group, Inc.	TN	Family Medicine Physician	$0	$17.9M
Maxim Healthcare Services, Inc	TN	Home Health Agency	$0	$16.4M
Cde Onsite Senior Services Corporation	TN	In Home Supportive Care Agency	$0	$7.9M
Integrity Laboratories, LLC	TN	Clinical Medical Laboratory	$109.6K	$4.1M
Parkwest Surgery Center LLC	TN	Ambulatory Surgical Clinic/Center	$1.9M	$0
Jeffrey Dell	TN	Gynecology Physician	$438.3K	$0
Contract Health Services, Inc.	TN	Sonography Specialist/Technologist Cardiovascular	$64.1K	$260.1K
Joseph Meyer	TN	Radiation Oncology Physician	$285.1K	$0
Jake Mcmillin	TN	Ophthalmology Physician	$212.1K	$0
Elmer Pinzon	TN	Physical Medicine & Rehabilitation Physician	$65.1K	$0

Daniel Ibach — Billing Profile & Reimbursement Data

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Daniel Ibach — 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