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    OpenPayerNPI Medicare & MedicaidArvind Chaudhry
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    Arvind Chaudhry — Billing Profile & Reimbursement Data

    NPI 1750336236 · Spokane, WA · Hematology & Oncology Physician

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    Arvind Chaudhry is a hematology & oncology physician provider located in Spokane, Washington. This profile covers 59 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
    OrganizationArvind Chaudhry
    Address6001 North Mayfair
    CitySpokane
    StateWA
    ZIP99208
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 23, 2006

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the available data: total Medicare revenue is $2.9M and there is no Medicaid billing on file, indicating the practice’s reimbursement exposure and reporting are concentrated in Medicare rather than state programs. Analysts should treat Medicaid as absent when modeling payer mix or negotiating with state plans.

    Revenue concentration is extreme: the precomputed top 3 Medicare codes account for 79.8% of this provider’s total Medicare revenue, driven by J9271 (64.5%), J0897 (9.7%), and 99213 (5.6%). This indicates a small set of services dominate financial performance and should be the focus of utilization or reimbursement reviews.

    The code mix points to a high-throughput oncology infusion practice centered on immunotherapy and supportive agents: J9271 (44K claims, $1.8M revenue) is the primary driver, supported by J0897 (14.7K claims, $279.3K revenue) and chemotherapy administration 96413 (772 claims, $79.5K revenue). Diagnostic and imaging codes such as 78815 (106 claims, $135.2K revenue) and A9800 (55 claims, $39.8K revenue) further suggest integrated use of advanced PET/CT and novel tracers for cancer staging and management.

    The provider is a national outlier for pembrolizumab administration: J9271 ranks #21 of 1841 providers nationally (99th percentile; extreme outlier), with 44K claims and $1.8M in Medicare revenue. This position indicates dominant national volume for this specific high-cost immunotherapy relative to peers and implies significant clinical focus or a specialized infusion infrastructure.

    Other oncology services also show above-typical scale: J0897 ranks #558 of 10057 providers (94th percentile; notably above typical national volume) and chemotherapy administration 96413 ranks #196 of 7514 providers (97th percentile; notably above typical national volume). In addition, M0010 (441 claims, $30.9K revenue) ranks #6 of 544 providers nationally (99th percentile; notably above typical national volume), signaling active participation in enhanced oncology model payments and structured oncology care delivery.

    Ambulatory visit volume for established patients is unusually high: 99213 appears with 2.5K claims, $161.7K revenue and ranks #429 of 457151 providers nationally (100th percentile; extreme outlier). This suggests the provider maintains heavy office-based management alongside infusion services, implying significant face‑to‑face follow-up and care coordination capacity.

    The provider has long tenure in the NPI registry (enumerated 2006-05-23 (~20 years ago)), which aligns with the scale and concentration of specialty oncology services observed; the long-active enumeration supports interpreting high volumes as established practice patterns rather than a recent surge.

    Most ancillary codes (imaging, labs, additional infusion add‑ons) report typical or unremarkable volumes relative to national peers—examples include 78815 (70th percentile; typical), A9800 (0th percentile; typical), and multiple lab codes with high percentiles labeled as typical. Combined with no Medicaid billing on file, this pattern points to a Medicare-focused oncology operation with concentrated revenue streams and limited exposure to state Medicaid populations, which may affect case mix, payer negotiation leverage, and access considerations for Medicaid beneficiaries.

    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.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg44,000$40$1.8M
    J0897Injection, denosumab, 1 mg14,700$20$279.3K
    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…2,450$70$161.7K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…110$1,280$135.2K
    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…770$100$79.5K
    A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie60$720$39.8K
    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…410$100$39.4K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg400$80$30.9K
    M0010Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services440$70$30.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.150$200$28.8K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92711309,600$40$465.7K
    J089741501,800$20$57.9K
    788153411050$430$50.3K
    A980011060$720$39.8K
    J2506310360$80$28.2K
    A9552114050$280$23.8K
    96413216080$110$15K
    J921788090$130$14.9K
    9921495510,860100$80$13.6K
    74177219550110$80$12.3K

    Showing 1–10 of 59

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    American Oncology Partners PAOHHematology & Oncology Physician$0$11.8M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    David SmithMDHematology & Oncology Physician$6.4M$0
    Stephen DiversARHematology & Oncology Physician$3.9M$1.5K
    Robert MuldoonARHematology & Oncology Physician$3.2M$0
    Bradley SumrallGAMedical Oncology Physician$3.1M$0
    Linda HendricksGASpecialist$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Behavioral Health Systems, Inc.WASubstance Abuse Rehabilitation Facility$0$60.5M
    Providence Health & Services - WashingtonWAGeneral Acute Care Hospital$0$43.2M
    Community Health Association Of SpokaneWAFederally Qualified Health Center (FQHC)$0$22.5M
    Excelsior WellnessWAMental Health Clinic/Center (Including Community Mental Health Center)$0$11.8M
    Center For Pediatric TherapyWAPhysical Therapy Clinic/Center$0$9M
    Emergency Physician Services Ps Holy Emergency CenterWAEmergency Medicine Physician$0$8.2M
    Patrick Bradley, Dds, PLLCWADental Clinic/Center$0$5.7M
    Community Health Association Of SpokaneWAFederally Qualified Health Center (FQHC)$0$5.5M
    Ortc, LLCWAMethadone Clinic$0$3.4M
    Mirela AndreiWAMedical Oncology Physician$1M$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. Washington Distribution
    Arvind Chaudhry — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington