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NPI 1629164678 · O Fallon, IL · Medical Oncology Physician
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Justin Floyd is a medical oncology physician provider located in O Fallon, Illinois. This profile covers 70 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Justin Floyd |
| Address | 321 Regency Park Ste 100 |
| City | O Fallon |
| State | IL |
| ZIP | 62269 |
| Taxonomy | Medical Oncology Physician |
| NPI Enumerated | October 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $336.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
70 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 16,200 | $40 | $696.6K |
| 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… | 1,560 | $90 | $146.3K |
| 78815 | PET 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.… | 60 | $1,090 | $68.4K |
| 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… | 660 | $100 | $64.4K |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 36,750 | $1 | $36.8K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 60 | $410 | $26.3K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 140 | $130 | $18.8K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 110 | $170 | $18.5K |
| 96375 | Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the… | 1,520 | $10 | $18.3K |
| 99213 | The 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… | 270 | $70 | $18K |
Showing 1–10 of 70
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 70 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
70 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J9271 | 36 | 110 | 11,600 | $40 | $564.2K |
| 78815 | 147 | 370 | 50 | $360 | $30.9K |
| J1439 | 22 | 80 | 25,500 | $1 | $30K |
| 88185 | 9 | 20 | 660 | $20 | $28.3K |
| A9552 | 36 | 90 | 50 | $360 | $27.5K |
| J9217 | 74 | 160 | 140 | $130 | $21.1K |
| 96413 | 14 | 370 | 130 | $100 | $19.3K |
| 99214 | 71 | 18,540 | 110 | $80 | $17.1K |
| 82306 | 359 | 360 | 50 | $30 | $14.7K |
| 74177 | 557 | 1,020 | 120 | $80 | $11.7K |
Showing 1–10 of 70
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 4,360 | $30 | $148.2K |
| 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… | 1,760 | $40 | $68.4K |
| 96367 | The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose… | 680 | $30 | $23.2K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 2,250 | $10 | $22.5K |
| 96375 | Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the… | 970 | $20 | $19.4K |
| J2469 | Injection, palonosetron hcl, 25 mcg | 140 | $100 | $13.8K |
| 99213 | The 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… | 370 | $30 | $10.3K |
| J1453 | Injection, fosaprepitant, 1 mg | 30 | $310 | $10.3K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 1,520 | $10 | $9.1K |
| 85007 | The lab analyst performs a technical lab test on stained blood smears to microscopically examine and manually count and differentiate white blood cells, or WBCs, also called leukocytes. The… | 1,530 | $1 | $6.1K |
Showing 1–10 of 19
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
19 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 274 | 740 | 960 | $10 | $75.9K |
| 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… | 572 | 14,680 | 300 | $50 | $48.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 441 | 830 | 700 | $1 | $47.5K |
| 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… | 20 | 150 | 170 | $50 | $39.9K |
| 99213 | The 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… | 6,406 | 14,190 | 280 | $20 | $38.9K |
| J1453 | Injection, fosaprepitant, 1 mg | 4 | 10 | 40 | $70 | $28.6K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 150 | 340 | 1,190 | $1 | $23.8K |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 286 | 300 | 510 | $10 | $19.6K |
| 96367 | The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose… | 11 | 40 | 280 | $30 | $17.4K |
| J2469 | Injection, palonosetron hcl, 25 mcg | 6 | 20 | 100 | $30 | $17.4K |
Showing 1–10 of 19
Other providers in the same ZIP code as Justin Floyd, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Southern Illinois Healthcare Foundation Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $7.9M |
| Ssm Cardinal Glennon Childrens Hospital | IL | Pediatrics Physician | $0 | $5.4M |
| John Visconti | IL | Medical Oncology Physician | $2.8M | $149.1K |
| Brett Herzog | IL | Medical Oncology Physician | $1.9M | $40.7K |
| Mark Walshauser | IL | Hematology & Oncology Physician | $437.5K | $395.5K |
| O'fallon Surgical Center, LLC | IL | Ambulatory Surgical Clinic/Center | $793.7K | $0 |
| Scott Roustio | IL | Emergency Medicine Physician | $83.8K | $625.5K |
| Michael Stock | IL | Ophthalmology Physician | $669.2K | $0 |
| Raghav Govindarajan | IL | Neuromuscular Medicine (Psychiatry & Neurology) Physician | $377.7K | $282.1K |
| Patrick Win | IL | Allergy & Immunology Physician | $597.5K | $0 |
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