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    OpenPayerNPI Medicare & MedicaidIloabueke Chineke
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    Iloabueke Chineke — Billing Profile & Reimbursement Data

    NPI 1740700798 · Casper, WY · Medical Oncology Physician

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    Iloabueke Chineke is a medical oncology physician provider located in Casper, Wyoming. This profile covers 46 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
    OrganizationIloabueke Chineke
    Address6501 E 2nd St
    CityCasper
    StateWY
    ZIP82609
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJune 21, 2017

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the available data: total Medicare revenue is $1.2M while there is no Medicaid billing on file, so Medicare dominates the reported payer mix and overall revenue scale. Analysts should treat Medicare as the primary commercial signal for this NPI rather than expecting Medicaid activity.

    Revenue is highly concentrated in a few high-cost drug lines: the precomputed top 3 Medicare codes account for 79.2% of this provider’s Medicare revenue, driven by J9271 ($765.6K, 64.7%), J0897 ($99.2K, 8.4%), and J1449 ($72.6K, 6.1%). This concentration indicates the business is heavily dependent on a small set of injectable oncology agents for the bulk of its Medicare receipts.

    The code mix is consistent with a medical oncology infusion practice that also bills for office E/M and supportive medications: J9271 (pembrolizumab) shows 17.4K claims at $44 avg paid/claim and dominates revenue, and supportive/infectious prophylaxis and growth‑factor agents such as J0897 (5.2K claims, $19 avg paid/claim) and J1449 (2.9K claims, $25 avg) make up the next largest shares. Coupled with chemotherapy administration codes such as 96413 (257 claims, $103 avg, $26.5K) and add‑ons 96417/96415, this profile points to regular infusion throughput and on‑site drug administration.

    There is a measurable but limited radiation delivery footprint on the billings: G6015 contributes $35.2K (3.0% of Medicare revenue) with a national rank of #1175 of 1429 providers (18th percentile, typical), and related RT delivery codes G6012/G6013/G6002 appear at smaller volumes. These radiation codes are present but represent a minority of revenue, suggesting radiation services are either ancillary to the oncology infusion practice or billed infrequently relative to systemic therapy.

    Competitive standing is modest to mixed across top items: for the primary revenue driver J9271 the provider ranks #529 of 1841 nationally (71th percentile; typical, unremarkable volume), for J0897 the rank is #2699 of 10057 (73th percentile; typical), while J1449 ranks #112 of 161 (25th percentile; typical). Overall, the provider is not a dominant national player for these agents but participates at a typical volume for pembrolizumab and denosumab and at a lower percentile for eflapegrastim.

    One notable statistical outlier in service mix is high‑level E/M: 99215 accounts for 451 claims and $63.1K (5.3% of Medicare revenue) and is flagged as an extreme outlier (rank #2473 of 145531, 98th percentile). This indicates an unusually high volume of high‑acuity established‑patient office encounters relative to national peers and may reflect complex follow‑up visits tied to oncology management.

    Operational throughput is supported by frequent ancillary and diagnostic items: lab codes such as 85025 (661 claims, $8 avg, $5.3K) and 80053 (519 claims, $10 avg, $5.2K) and blood‑draw 36415 (420 claims, $8 avg, $3.4K) show routine monitoring activity consistent with ongoing systemic therapy. The presence of infusion‑timing codes (96365/96367 and add‑on hours 96415) further supports regular infusion sessions and monitoring infrastructure.

    This NPI has been active for several years (NPI enumerated 2017-06-21 (~9 years ago)), so the concentrated revenue profile in expensive oncology injectables plus sustained E/M and infusion volumes likely reflects an established oncology practice rather than a new or transient billing pattern. Given the reliance on a small set of high‑cost drugs, payers and analysts should track utilization and contracting for those agents when evaluating risk and network value for this provider.

    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg17,400$40$765.6K
    J0897Injection, denosumab, 1 mg5,220$20$99.2K
    J1449Injection, eflapegrastim-xnst, 0.1 mg2,900$30$72.6K
    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…450$140$63.1K
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session120$290$35.2K
    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…260$100$26.5K
    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…260$100$25.2K
    J1627Injection, granisetron, extended-release, 0.1 mg4,200$10$21K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…410$20$9.5K
    J0185Injection, aprepitant, 1 mg7,150$1$7.2K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927111012,500$40$528K
    G6015310200$290$165.3K
    J14492105,740$30$147.8K
    J08977501,800$20$51.1K
    77014410320$40$47.8K
    96413210150$100$22.9K
    G6012210120$190$22.4K
    J16272104,600$1$21.1K
    G601331040$190$18.7K
    99214185780100$80$14.8K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Stacey WellsAKRadiation Oncology Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Community Action Programs Of Wyoming, Inc.WYDevelopmentally Disabled Services Day Training Agency$0$25.8M
    Community Health Center Of Central Wyoming, Inc.WYFederally Qualified Health Center (FQHC)$0$15.3M
    Emg Casper Mw LLCWYAssisted Living Facility$0$5.9M
    Casper Children's Center, LLCWYPediatrics Physician$0$4M
    Wyoming Behavioral InstituteWYPsychiatric Hospital$0$2.7M
    Stephen BrownWYChild & Adolescent Psychiatry Physician$0$2.4M
    2nd Street Dental, LLCWYDental Clinic/Center$0$2.4M
    Solutions Counseling Services LLCWYCommunity/Behavioral Health Agency$0$2.1M
    Surfin Smiles LLCWYPediatric Dentistry$0$2M
    Elie FahedWYMedical Oncology Physician$1.9M$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. Wyoming Distribution
    Iloabueke Chineke — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming