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    OpenPayerNPI Medicare & MedicaidIkechukwu Onyeka
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    Ikechukwu Onyeka — Billing Profile & Reimbursement Data

    NPI 1659435204 · Grand Forks, ND · Internal Medicine Physician

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    Ikechukwu Onyeka is a internal medicine physician provider located in Grand Forks, North Dakota. This profile covers 8 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
    OrganizationIkechukwu Onyeka
    Address1200 S Columbia Rd - Altru Hospital
    CityGrand Forks
    StateND
    ZIP58201
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$486.7K
    Medicaid$0

    Key Findings

    The provider’s Medicare billing is heavily weighted toward inpatient evaluation-and-management and critical care services, with the top three codes 99232, 99233, and 99291 together accounting for 68.3% of total Medicare revenue. Individual volumes for these codes are substantial (99232: 2.3K claims, $53 avg paid/claim, $121.6K revenue; 99233: 1.2K claims, $92 avg paid/claim, $112.8K revenue; 99291: 603 claims, $163 avg paid/claim, $98.3K revenue), which points to a practice model centered on hospital-based care rather than ambulatory primary care visits.

    The concentration of revenue is pronounced: the precomputed top-3 share is 68.3% of $486.7K total Medicare revenue, indicating financial dependence on a small set of high-acuity hospital services. This profile suggests the provider’s margin and utilization patterns will be sensitive to changes in inpatient or critical-care reimbursement and utilization management policies.

    Competitive standing for the top inpatient/critical-care codes is nationally exceptional. The provider ranks as an "extreme outlier" for 99232 (99th percentile, ranks #1001 of 177383), 99233 (99th percentile, ranks #1186 of 128818), and 99291 (100th percentile, ranks #342 of 71290), signaling volume far above typical national peers for those services.

    Beyond the top three, other inpatient codes also show above-typical volumes and high rankings, reinforcing a broad inpatient practice footprint. Examples include 99223 (452 claims, $134 avg paid/claim, $60.6K revenue; 99th percentile, extreme outlier), 99239 (507 claims, $89 avg paid/claim, $45.1K revenue; 100th percentile, extreme outlier), and 99222 (361 claims, $100 avg paid/claim, $36.1K revenue; 99th percentile, extreme outlier), which together portray consistent high-volume activity across initial, subsequent, and discharge hospital visit codes.

    This provider is effectively single-payer in the dataset: total Medicare revenue is $486.7K and there is no Medicaid billing on file. The absence of Medicaid activity means comparisons or contracting considerations should focus on Medicare performance and hospital-based payer arrangements rather than dual-payer dynamics.

    Tenure data show the NPI was enumerated on 2006-12-20 (~20 years ago), indicating an established presence in the market. Coupled with sustained high volumes on hospital E/M and critical-care codes, this suggests a long-standing role in inpatient medicine within the Grand Forks, ND market.

    Average paid-per-claim levels for the major codes are consistent with higher-acuity inpatient services and critical care (for example, $163 avg paid/claim for 99291 and $134 avg paid/claim for 99223). These payment levels, together with unusually high claim counts, imply the provider delivers frequent, resource-intensive inpatient care relative to national peers.

    For payers and competitive analysts, the combination of extreme national-volume rankings on inpatient/critical-care codes and no Medicaid billing highlights two implications: (1) the provider is a major inpatient/critical-care resource relative to Medicare peers, and (2) there may be limited interaction with Medicaid populations in this data, so Medicaid network or access evaluations should not rely on this provider’s claims history.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…2,290$50$121.6K
    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…1,230$90$112.8K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…600$160$98.3K
    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…450$130$60.6K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…510$90$45.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…360$100$36.1K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…240$40$9.2K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…60$60$3.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99291114050$160$12.9K
    99233229060$90$11.9K
    99232356070$60$10K
    99223533040$130$8.9K
    99239121060$90$7.3K
    99222244030$100$3.8K
    99231726040$40$2.5K
    992382618020$60$2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allina Health SystemMNAmbulance$9M$118M
    Allina Health SystemMNGeneral Acute Care Hospital$0$48.8M
    Allina Health SystemMNInternal Medicine Physician$0$32.9M
    Altru Health SystemNDClinic/Center$0$29.7M
    Allina Health SystemMNGeneral Acute Care Hospital$0$27M
    St. Luke's Hospital Of DuluthMNGeneral Acute Care Hospital$0$26.6M
    Allina Health SystemMNGeneral Acute Care Hospital$0$25.7M
    Lake Region Healthcare CorporationMNGeneral Acute Care Hospital$0$25.3M
    Allina Health SystemMNFamily Medicine Physician$0$22.2M
    Altru Health SystemNDGeneral Acute Care Hospital$0$18.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Development Homes IncNDCommunity/Behavioral Health Agency$0$53.9M
    L.i.s.t.e.n. IncNDCommunity/Behavioral Health Agency$0$9.4M
    Peterson Medical Clinics, LLCNDMulti-Specialty Clinic/Center$0$8.8M
    Edgewood Sartell LLCNDAssisted Living Facility$0$7.1M
    Northeast Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$5.5M
    Little Miracles, Inc.NDMulti-Specialty Clinic/Center$0$5.5M
    Anil PottiNDHematology & Oncology Physician$4.9M$0
    Valley Oral & Facial Surgery PCNDOral and Maxillofacial Surgery Clinic/Center$0$4.5M
    Rehabauthority, LLCNDMulti-Specialty Clinic/Center$0$3.5M

    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. North Dakota Distribution
    Ikechukwu Onyeka — 7 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota