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    OpenPayerNPI Medicare & MedicaidDeepnarayan Tiwarri
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    Deepnarayan Tiwarri — Billing Profile & Reimbursement Data

    NPI 1649217464 · Clinton, MD · Hematology & Oncology Physician

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    Deepnarayan Tiwarri is a hematology & oncology physician provider located in Clinton, Maryland. This profile covers 79 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
    OrganizationDeepnarayan Tiwarri
    Address8926 Woodyard Rd
    CityClinton
    StateMD
    ZIP20735
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 1, 2006

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the claims on file: total Medicare revenue is $2.6M and there is no Medicaid billing on file (none). The absence of Medicaid activity indicates the practice’s revenue and payer negotiations will be driven almost entirely by Medicare and commercial arrangements rather than state Medicaid contracts.

    Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicare codes account for 65.9% of the provider’s total Medicare revenue, with J9271 alone representing $1.2M (51.5% of Medicare revenue). That concentration signals material dependence on a single high-cost oncology drug for the bulk of billed Medicare dollars.

    The code mix is characteristic of an infusion‑focused hematology/oncology practice: large volume of J9271 (pembrolizumab), J0897 (denosumab), and chemotherapy/infusion administration codes such as 96413 and 96365, alongside supportive biologics (J2506, Q5122) and frequent lab monitoring codes (85025, 80053, 82728). This pattern points to a practice model centered on outpatient oncology infusions plus accompanying E/M and lab services.

    On competitive standing for its top oncology drug, J9271 ranks #135 of 1841 providers nationally (93th percentile; notably above typical national volume for this code), indicating this provider is a high‑volume distributor of pembrolizumab relative to national peers. Other oncology/supportive drug volumes are also elevated versus peers — for example, J0881 ranks #44 of 1114 (96th percentile; notably above typical national volume) and J2506 ranks #22 of 586 (96th percentile; notably above typical national volume) — reinforcing a strong regional/national presence in select biologics.

    E/M utilization is unusually high for established‑patient visits: 99214 appears as a top revenue code with 1.1K claims and $119.5K revenue (4.9% of Medicare revenue) and ranks #9068 of 479517 providers nationally (98th percentile; extreme outlier). This extreme outlier status for a common E/M code suggests above‑typical office visit throughput supporting the infusion business, and it may reflect a sizable chronic-care panel or frequent visit cadence tied to infusion cycles.

    Ancillary and supportive care billing is meaningful and consistent with oncology practice needs: significant claims for iron therapies (J1439 and J1437), lab panels (85025, 80053), and growth‑factor products including biosimilars (Q5119, Q5122). These services together indicate routine management of treatment‑related anemia, marrow support, and lab monitoring that accompany cytotoxic and immunotherapy regimens.

    The provider’s competitive footprint is mixed: nationally high relative volumes on specific oncology drugs and infusion administration codes mark it as a prominent dispenser of those therapies, while many other codes (several lab and E/M entries) have percentiles described as typical or unremarkable, indicating focused specialty strength rather than broad service dominance. This suggests the practice competes strongly on drug/infusion throughput rather than broad outpatient service breadth.

    The NPI shows long tenure in the Medicare program (NPI enumerated 2006-06-01 (~20 years)), implying an established practice history; combined with concentrated Medicare revenue ($2.6M) and no Medicaid activity (none), the entity is likely to be operationally stable but sensitive to utilization or reimbursement changes for its top drugs.

    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.

    79 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg29,000$40$1.2M
    J0897Injection, denosumab, 1 mg12,660$20$227.9K
    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…1,100$110$119.5K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)58,000$1$116K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg1,140$80$94.6K
    J1439Injection, ferric carboxymaltose, 1 mg84,750$1$84.8K
    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…620$130$77.9K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg3,060$20$70.4K
    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…690$70$50.8K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg470$100$45.9K

    Showing 1–10 of 79

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 79 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    79 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927186015,000$40$787.6K
    J0897403403,600$20$114.4K
    J088196030,420$1$76.4K
    J143744502,800$20$75.1K
    Q51192103,000$20$74.3K
    J34902110070$450$62.1K
    J2506330590$80$55.2K
    Q5122410470$90$52K
    J143944030,750$1$36.2K
    9641323230200$110$29.6K

    Showing 1–10 of 79

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maryland Oncology Hematology P.A.MDHematology & Oncology Physician$0$4.6M
    Kashif AliMDHematology & Oncology Physician$3.6M$0
    Andrew MenerMDHematology & Oncology Physician$3.5M$0
    Jason TakseyMDMedical Oncology Physician$3.3M$0
    Frederick MinMDHematology & Oncology Physician$3.2M$0
    Mohit NarangMDMedical Oncology Physician$3M$0
    Frederick SmithMDMedical Oncology Physician$2.7M$0
    Amr HegaziMDHematology & Oncology Physician$2.3M$0
    Edward LeeMDMedical Oncology Physician$1.9M$0
    Ravin GargMDHematology & Oncology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fescum IncMDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$36.3M
    Medstar Southern Maryland Hospital Center IncMDGeneral Acute Care Hospital$0$18.4M
    M Medical Group, Inc.MDCritical Care Medicine (Internal Medicine) Physician$0$11.3M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$7.6M
    Nicholas DemonacoMDHematology & Oncology Physician$1.7M$0
    Jun SunMDHematology & Oncology Physician$1.6M$0
    Rita GuptaMDHematology & Oncology Physician$1.6M$0
    Jose MendozaMDHematology & Oncology Physician$1.4M$0
    Ankit MadanMDHematology & Oncology Physician$1M$580
    Surgcenter Of Southern Maryland, LLCMDAmbulatory Surgical Clinic/Center$807.5K$25.5K

    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. Maryland Distribution
    Deepnarayan Tiwarri — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland