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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Matthew Pierce
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    John Matthew Pierce — Billing Profile & Reimbursement Data

    NPI 1669799961 · Birmingham, AL · Hematology & Oncology Physician

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    John Matthew Pierce is a hematology & oncology physician provider located in Birmingham, Alabama. This profile covers 24 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
    OrganizationJohn Matthew Pierce
    Address100 Pilot Medical Dr Ste 175
    CityBirmingham
    StateAL
    ZIP35235
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 26, 2010

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

    Payer SourceTotal Paid
    Medicare$239.6K
    Medicaid$0

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg3,960$20$71.3K
    J1439Injection, ferric carboxymaltose, 1 mg54,750$1$54.8K
    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…250$80$20.8K
    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…330$60$19K
    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…190$80$15.6K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)6,430$1$12.9K
    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…50$130$6.5K
    85025A 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…760$10$6.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.630$10$5K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.110$40$4.5K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0897822003,120$20$97.7K
    J143931041,250$1$39K
    J088119307,720$1$24.1K
    9641369150150$90$20.2K
    992142,0957,330120$80$16.8K
    992331,6271,86080$90$13.4K
    992321,7742,530100$60$13.3K
    992156501,71040$110$8.1K
    992231,3622,14040$130$8.1K
    992137436,47080$50$7.9K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Benjamin JonesALHematology & Oncology Physician$2.4M$0
    Matthew TuckerALHematology & Oncology Physician$1.3M$0
    Birmingham Hematology Oncology Assoc LLCALHematology & Oncology Physician$0$1.1M
    Cara BondlyALHematology & Oncology Physician$986.3K$0
    Joanne RossmanALHematology & Oncology Physician$874.6K$0
    John PiedeALHematology & Oncology Physician$774.1K$0
    Christopher WangALHematology & Oncology Physician$760.3K$0
    Carter CapraALHematology & Oncology Physician$741.9K$0
    Geoffrey AlilonuALNephrology Physician$442.8K$0
    Racquel Innis-sheltonALHematology & Oncology Physician$422.5K$0

    Nearby Providers

    Other providers in the same ZIP code as John Matthew Pierce, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Beacon Healthcare Group, LLCALCommunity Based Hospice Care Agency$0$5.6M
    St. Vincent's EastALGeneral Acute Care Hospital$0$3M
    Tots 'n' Teens Pediatrics, P.C.ALPediatrics Physician$0$2.9M
    Preferred Pain Associates Of Alabama, P.C.ALPain Medicine (Anesthesiology) Physician$0$2.8M
    Small Steps Pediatrics, PCALPediatrics Physician$0$1.6M
    Dr. Michael Vann & Associates, IncALPediatric Dentistry$0$1.4M
    Outpatient Services EastALAmbulatory Surgical Clinic/Center$1.1M$230
    Mario MaruthurALDermatology Physician$1.1M$0
    Oasis Healthcare, Inc.ALCommunity Based Hospice Care Agency$0$975.6K
    Visionfirst Eye Center, IncALOphthalmology Physician$0$904.8K

    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. Alabama Distribution
    John Matthew Pierce — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama