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

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

Harry Moore (NPI 1699096388)

Field	Value
Entity Type	Individual
Organization	Harry Moore
Address	5430 Bowman Rd
City	Macon
State	GA
ZIP	31210
Taxonomy	Medical Oncology Physician
NPI Enumerated	June 16, 2010

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

HARRY MOORE is a Medical Oncology Physician in MACON, GA with an NPI enumerated 2010-06-16 (~16 years ago). Lifetime Medicare revenue on file is $2.9M and there is no Medicaid billing on file, making this effectively a single-payer (Medicare) billing profile for analysis and contracting considerations.

Revenue is highly concentrated in a few high-cost oncology drugs: the precomputed top three Medicare codes account for 68.1% of this provider's Medicare revenue, driven by J9271 ($1.2M, 43.3%), J9299 ($380.2K, 13.6%), and J9144 ($314.6K, 11.2%). This concentration indicates that a small portfolio of infusion drugs—primarily immune and targeted therapies—dominates the practice’s reimbursement.

The code mix (J9271, J9299, J9144, plus chemotherapy administration codes such as 96413 and infusion add-on 96417 and G0498) is consistent with an outpatient oncology infusion practice focused on immune checkpoint inhibitors and monoclonal antibodies alongside conventional chemotherapy. High-volume drug administration codes combined with supportive labs and injection codes suggest the practice operates an infusion suite and manages treatment-related monitoring and supportive care on-site.

Competitive standing for the top immunotherapy agents is moderate: J9271 ranks #149 of 1841 nationally (92th percentile) and is labeled in the file as a "typical, unremarkable volume for this code," while J9299 (rank #228 of 505, 55th percentile) and J9144 (rank #299 of 615, 50th percentile) are both described as typical, unremarkable volumes. In other words, the provider is a recognizable but not dominant national participant for these specific agents.

The practice reports unusually high evaluation-and-management volume for established-patient visits: 99214 accounts for $149K (5.3% of Medicare revenue) and ranks #2671 of 479517 nationally at the 99th percentile, labeled an "extreme outlier, far above typical national volume for this code." 99213 also ranks highly (95th percentile, described as "notably above typical national volume") which points to a substantial clinic visit component in addition to infusion services and may reflect more frequent follow-up, complex care coordination, or billing intensity relative to peers.

Supporting services and supportive drug codes appear across the payer mix: notable entries include J0897 (denosumab) with $229K (8.2% of Medicare revenue) ranked in the 93th percentile and labeled typical, lab panels (80053, 1.8K claims, $18.3K) and CBCs (85025, 2.6K claims, $20.6K) reflecting routine monitoring, plus anemia and growth-factor related codes (J0885, Q5111) consistent with active systemic therapy management. Together these codes indicate integrated management of treatment side effects and longitudinal monitoring typical of a medical oncology practice.

The absence of any Medicaid billing on file ("none below") means Medicaid does not contribute to reported revenue and this provider should be treated as effectively Medicare-only in payer-mix analyses. This limits the ability to assess in-state Medicaid competitiveness or network participation from claims data and suggests payer negotiations, patient access, and population impact analyses should focus on Medicare volumes and referrals.

Medicare: Complete Services Breakdown

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	28,200	$40	$1.2M
J9299	Injection, nivolumab, 1 mg	15,840	$20	$380.2K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	8,280	$40	$314.6K
J0897	Injection, denosumab, 1 mg	12,720	$20	$229K
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…	1,660	$90	$149K
Q5107	Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg	3,500	$20	$77.1K
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…	700	$90	$64.7K
J9264	Injection, paclitaxel protein-bound particles, 1 mg	6,450	$10	$64.5K
J1439	Injection, ferric carboxymaltose, 1 mg	38,990	$1	$39K
Q5111	Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg	290	$110	$32K

Showing 1–10 of 85

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 85 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Harry Moore — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

85 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	7	40	15,200	$40	$767.3K
J9299	5	10	15,910	$20	$431.3K
J9144	4	10	9,450	$40	$321.2K
J0897	26	290	2,460	$20	$90.2K
Q5107	3	10	3,280	$20	$69.8K
J9264	1	10	5,880	$10	$58.8K
Q5119	4	10	2,140	$20	$46.8K
J1439	12	30	28,130	$1	$32.3K
Q5111	2	10	270	$110	$28.8K
J0885	10	30	3,970	$10	$26.6K

Showing 1–10 of 85

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wilfredo Blasini	FL	Clinical Pathology Physician	$16.9M	$307.9K
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
American Oncology Partners PA	OH	Hematology & Oncology Physician	$0	$11.8M
Robert Mcdonald	AZ	Diagnostic Radiology Physician	$7.5M	$0
David Smith	MD	Hematology & Oncology Physician	$6.4M	$0
Stephen Divers	AR	Hematology & Oncology Physician	$3.9M	$1.5K
Robert Muldoon	AR	Hematology & Oncology Physician	$3.2M	$0
Bradley Sumrall	GA	Medical Oncology Physician	$3.1M	$0
Linda Hendricks	GA	Specialist	$3.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Pediatrics, PC	GA	Specialist	$0	$32.9M
Cogent Healthcare Of Georgia PC	GA	Internal Medicine Physician	$0	$4.6M
Tara Adams	GA	Nurse Practitioner	$2.9M	$0
Macon Outpatient Surgery, LLC	GA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Georgia Em-i Medical Services PC	GA	Physician Assistant	$0	$1.9M
Steven Allee	GA	Ophthalmology Physician	$1.7M	$0
Norman Nelson	GA	Ophthalmology Physician	$1.5M	$0
Central Georgia Cancer Care	GA	Specialist	$0	$1.2M
Arpan Bachhawat	GA	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
William Knopf	GA	Cardiovascular Disease Physician	$1.1M	$0

Harry Moore — Billing Profile & Reimbursement Data

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Harry Moore — 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