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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Bodine
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    Charles Bodine — Billing Profile & Reimbursement Data

    NPI 1740669928 · Athens, GA · Hematology & Oncology Physician

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    Charles Bodine is a hematology & oncology physician provider located in Athens, Georgia. This profile covers 68 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
    OrganizationCharles Bodine
    Address3320 Old Jefferson Rd Bldg 700
    CityAthens
    StateGA
    ZIP30607
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 21, 2015

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    Top-line concentration: this provider reports Total Medicare revenue of $2.3M and the precomputed top 3 Medicare codes by revenue account for 86.5% of this provider's total Medicare revenue, driven primarily by A9607 ($1.5M, 66.3%), J9271 ($360.8K, 15.9%), and 99214 ($98.7K, 4.3%). This indicates a highly concentrated Medicare revenue base where a very small number of services dominate receipts.

    Business/service-line implications: the revenue mix is consistent with a specialty oncology practice that delivers high-cost radiopharmaceutical therapy and infusion-based systemic therapy — A9607 is a therapeutic lutetium radiopharmaceutical and J9271 is pembrolizumab, an immunotherapy infusion — while 99214 indicates substantial office E/M activity. Supporting codes such as 96413 (chemotherapy administration), 96367 (additional infusion), 36415 (venipuncture), and lab panels (85025, 80053, 88185) further suggest an integrated infusion and outpatient oncology workflow rather than a solely consultative practice.

    Competitive standing on radiopharmaceutical therapy: A9607 accounts for $1.5M (66.3% of Medicare revenue) but ranks only #27 of 44 providers nationally (40th percentile; typical, unremarkable volume for this code), signaling that while A9607 dominates this provider’s revenue locally, the provider is a modest participant on the national stage for this specific therapy. This pattern may reflect a local concentration of high-cost cases or access to a specialized therapy that is not concentrated among the largest national centers.

    Competitive standing on immunotherapy: J9271 contributes $360.8K (15.9% of Medicare revenue) yet ranks #1323 of 1841 providers nationally (28th percentile; typical, unremarkable volume for this code), indicating routine use of pembrolizumab but a below-median national footprint in terms of claim volume for this drug. The code’s contribution to revenue is substantial for this provider despite its modest national rank.

    Statistical outlier in E/M billing: 99214 accounts for $98.7K (4.3% of Medicare revenue) and ranks #8785 of 479517 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). This extreme outlier status for a high-level established office visit suggests an unusually large volume of moderate-complexity outpatient evaluation and management encounters relative to peers, which could reflect clinic throughput, chronic-care follow-up patterns, or documentation/billing intensity concentrated in this practice.

    Single-payer concentration and contracting risk: Medicaid revenue is none (no Medicaid billing on file), so this provider operates effectively as a single-payer (Medicare) billing entity at the dataset level. Reliance on Medicare ($2.3M) with no Medicaid activity concentrates payer risk and may affect negotiating leverage and vulnerability to Medicare policy changes affecting high-cost oncology drugs and radiopharmaceuticals.

    Tenure and market presence: the NPI was enumerated 2015-05-21 (~11 years ago), indicating an established provider who has had time to develop specialty service lines and to adopt high-cost therapies such as radioligand treatment and immunotherapy. This tenure supports the plausibility of the concentrated revenue mix and the presence of integrated infusion/diagnostic services documented in the claims.

    Ancillary and supportive revenue lines are present but relatively small: chemotherapy administration (96413, $24.1K), infusion add-ons (96417, $5.9K), growth factors and supportive injectables (J1449 $53.9K, J0885 $11.7K, J0897 $46.4K), iron therapy (J1437 $30K), and routine labs/CMP/CBC (85025 $8.4K, 80053 $5.5K) together indicate the practice provides a range of supportive oncology services. However, these buckets are minor compared with the dominant revenue contribution from A9607 and J9271, reinforcing that high-cost therapeutic agents drive the economics of this provider’s Medicare billing profile.

    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.

    68 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie6,090$250$1.5M
    J9271Injection, pembrolizumab, 1 mg8,800$40$360.8K
    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…1,110$90$98.7K
    J1449Injection, eflapegrastim-xnst, 0.1 mg2,240$20$53.9K
    J0897Injection, denosumab, 1 mg2,580$20$46.4K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg100$330$33.7K
    J1437Injection, ferric derisomaltose, 10 mg2,000$20$30K
    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…270$90$24.1K
    99205The provider sees a new 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 provider…90$150$13.5K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units2,330$10$11.7K

    Showing 1–10 of 68

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    68 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96072106,090$250$1.6M
    J9271364015,200$40$767.3K
    J08971402902,460$20$90.2K
    J14494102,640$30$74.9K
    J143725302,850$20$56.4K
    J088516303,970$10$26.6K
    J145492080$330$25.9K
    9641349160170$90$20.3K
    J3490165050$320$19.8K
    88185710530$20$18.5K

    Showing 1–10 of 68

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Petros NikolinakosGAHematology & Oncology Physician$4.6M$0
    University Cancer & Blood Center LLCGAHematology & Oncology Physician$0$3.2M
    Gustavo WestinFLMedical Oncology Physician$2M$0
    James SplichalGAHematology & Oncology Physician$1.9M$0
    Kuang ChangGAHematology & Oncology Physician$1.8M$0
    Jeffrey ThomasGAHematology & Oncology Physician$1.7M$0
    Cynthia ShepherdGAHematology & Oncology Physician$1.6M$0
    Barry CharnickFLNuclear Radiology Physician$1.3M$0
    Frederick FlyntGAHematology & Oncology Physician$1M$0
    Gordon SchoenfeldGARadiation Oncology Physician$834K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mohan IyerGARetina Specialist (Ophthalmology) Physician$1.6M$0
    Victor CopelandGARetina Specialist (Ophthalmology) Physician$1.5M$0
    Athens Eye Surgery Center,llcGAAmbulatory Surgical Clinic/Center$1.2M$0
    Athens Radiology Associates PCGADiagnostic Radiology Physician$0$863K
    Tzu-chuan HuangGAHematology & Oncology Physician$469.2K$0
    Jeffrey WilliamsGAGastroenterology Physician$385.8K$0
    Athens Gastroenterology Endoscopy Center IncGAEndoscopy Clinic/Center$375.9K$0
    Walter SamsGAOphthalmology Physician$358.3K$0
    Emory PattersonGAOphthalmology Physician$326.1K$0
    Addie HillGAHematology & Oncology Physician$298.2K$0

    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. Georgia Distribution
    Charles Bodine — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia