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

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

Richard White (NPI 1700840980)

Field	Value
Entity Type	Individual
Organization	Richard White
Address	639 Hospital Dr
City	Mountain Home
State	AR
ZIP	72653
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

RICHARD WHITE is a Hematology & Oncology Physician based in MOUNTAIN HOME, AR with an NPI enumerated 2006-04-14 (~20 years ago). Lifetime Medicare revenue on file is $2.2M and there is no Medicaid billing on file, indicating this profile is effectively single-payer (Medicare) in scale and reporting.

Revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 70.7% of this provider's Medicare revenue. Those top three are J9271 ($809.6K, 36.7% of Medicare revenue), J9144 ($465.1K, 21.1%), and J9299 ($283.2K, 12.9%), which together drive the majority of billed dollars.

The code mix indicates an infusion‑center, oncology‑focused operation: the top revenue drivers are high‑cost immuno‑oncology and monoclonal antibody products (J9271, J9144, J9299) supported by chemotherapy administration codes (96413, 96417, 96365) and supportive biologics (Q5115, Q5108). This pattern is consistent with an office‑based infusion practice that delivers systemic cancer therapies and associated supportive care rather than primarily procedure‑based or surgical oncology services.

Payer mix is effectively single‑payer: Medicare accounts for all reported public program revenue ($2.2M) while Medicaid shows none on file. Absence of Medicaid billing suggests limited exposure to state Medicaid patient volume and revenue, which could concentrate reimbursement risk around Medicare policy changes and drug reimbursement updates.

Competitive standing on the top drugs is that of a solid participant rather than a national leader: J9271 ranks #485 of 1841 providers nationally (73th percentile; typical, unremarkable volume for this code), J9144 ranks #142 of 615 (76th percentile; typical, unremarkable volume), and J9299 ranks #308 of 505 (39th percentile; typical, unremarkable volume). These rank/percentile placements imply respectable prescribing and infusion volume for these agents but not market dominance at the national level.

One notable statistical outlier is E/M code 99214, which appears with 1.4K claims and $112K revenue (5.1% of Medicare revenue) and is labeled an extreme outlier (ranks #4657 of 479517 providers nationally, 99th percentile). This suggests an unusually high volume of moderate‑complexity established patient visits relative to peers and may reflect a practice workflow emphasizing frequent, complex follow‑up and management visits.

Ancillary services and laboratory ordering are present at typical oncology levels: 80053 (947 claims, $9.5K) and 85025 (1K claims, $8.3K) appear in the top lines, and multiple infusion add‑on and administration codes (96413, 96417, 96365, 96367) generate smaller but consistent revenue. These patterns support the interpretation of an integrated outpatient oncology clinic that consolidates drug administration and routine lab monitoring in the same practice setting.

Given NPI tenure (enumerated 2006-04-14, ~20 years) and the large share of revenue tied to a small set of expensive biologic agents, the provider appears to be an established oncology practitioner whose financial profile will be sensitive to shifts in drug utilization, biosimilar adoption, and Medicare reimbursement for high‑cost infusions and E/M services.

Medicare: Complete Services Breakdown

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	18,400	$40	$809.6K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	12,240	$40	$465.1K
J9299	Injection, nivolumab, 1 mg	11,800	$20	$283.2K
J0897	Injection, denosumab, 1 mg	7,440	$20	$141.4K
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…	1,380	$80	$112K
Q5115	Injection, rituximab-abbs, biosimilar, (truxima), 10 mg	2,940	$30	$94.1K
J9264	Injection, paclitaxel protein-bound particles, 1 mg	9,300	$10	$93K
Q5108	Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg	620	$90	$53K
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…	410	$90	$37.1K
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…	440	$50	$23.6K

Showing 1–10 of 74

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 74 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Richard White — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

74 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	23	40	20,700	$40	$896.3K
J9299	22	30	15,660	$20	$432.9K
J9144	3	10	10,530	$40	$361.9K
J9264	6	10	9,300	$10	$96.2K
Q5115	10	20	2,800	$30	$95.9K
J0897	32	160	2,580	$20	$89.7K
J0885	36	40	4,070	$10	$38K
96413	39	80	380	$90	$36.6K
Q5108	1	10	260	$90	$28.1K
99214	75	4,300	130	$70	$18.8K

Showing 1–10 of 74

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monument Health Rapid City Hospital, Inc	SD	Multi-Specialty Clinic/Center	$0	$18.7M
Baxter County Regional Hospital, Inc	AR	General Acute Care Hospital	$0	$15.2M
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$11.5M
Monument Health Rapid City Hospital, Inc.	SD	Multi-Specialty Clinic/Center	$0	$5.2M
Baxter County Regional Hospital Inc	AR	General Acute Care Hospital	$0	$3M
Dmitriy Zak	AR	Hematology & Oncology Physician	$2.2M	$0
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$2M
Jennifer May	SD	Internal Medicine Physician	$1.9M	$0
Monument Health Network, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.8M
Monument Health Rapid City Hospital, Inc.	SD	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gracon, Inc.	AR	Home Health Agency	$0	$23.1M
Kidspiration Pediatric Therapy Services, Inc.	AR	Primary Care Clinic/Center	$0	$16.5M
Developmental Discoveries, Inc.	AR	In Home Supportive Care Agency	$0	$8M
River Lodge Assisted Living LLC	AR	Assisted Living Facility	$0	$5.1M
Bradley Wayne Coleman,d.d.s.	AR	Dentist	$0	$3.6M
Hometown Behavioral Health Services Of Ak Inc.	AR	Mental Health Counselor	$0	$3.5M
Baxter Day Service Center, Inc.	AR	Preferred Provider Organization	$0	$3.4M
Twin River Community Living Facility	AR	In Home Supportive Care Agency	$0	$2.5M
Interventional Pain Management Associates PLLC	AR	Interventional Pain Medicine Physician	$0	$2.1M
Lincoln Paden Medical Group PLLC	AR	Family Medicine Physician	$0	$1.9M

Richard White — 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