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    OpenPayerNPI Medicare & MedicaidAndrew Lipman
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    Andrew Lipman — Billing Profile & Reimbursement Data

    NPI 1780654889 · Naples, FL · Medical Oncology Physician

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    Andrew Lipman is a medical oncology physician provider located in Naples, Florida. This profile covers 65 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
    OrganizationAndrew Lipman
    Address1392 Wood Duck Trl
    CityNaples
    StateFL
    ZIP34108
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJanuary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$5.6M
    Medicaid$0

    Key Findings

    Andrew Lipman is a Medical Oncology Physician based in NAPLES, FL with an NPI enumerated on 2006-01-23 (~20 years ago), indicating long-standing Medicare enrollment and likely established clinical operations in the region. The provider's specialty and tenure align with a sustained oncology practice focused on outpatient infusion and oncology management.

    This provider's Medicare footprint is substantial: Total Medicare revenue is $5.6M while there is no Medicaid billing on file, making the practice effectively single-payer (Medicare) in scale and exposure. The absence of any Medicaid billing suggests limited participation in state Medicaid programs or a payer mix concentrated on Medicare beneficiaries and commercial payers.

    Revenue is highly concentrated in a few high-cost oncology drugs: J9271 ($2M, 37.0%), J9144 ($1.1M, 20.3%), and J9299 ($824.2K, 15.1%) together account for 72.4% of this provider's total Medicare revenue. This concentration indicates that a small set of infused oncology agents drives the majority of Medicare income for the practice.

    The code mix signals a high-throughput infusion/oncology service line: large volumes of immunotherapy and monoclonal antibody administrations (J9271: 47K claims, $43 avg paid/claim; J9144: 29.2K claims, $38 avg paid/claim; J9299: 34.3K claims, $24 avg paid/claim) are complemented by chemotherapy administration codes (96413: 1.2K claims, $103 avg paid/claim) and supportive injectables such as J0897 and J1569. Together these codes point to on-site drug administration capability, repeated treatment cycles, and an operational focus on infusion services rather than only office-based visits.

    On competitive standing, this provider is a national outlier on several high-impact codes: J9271 ranks #19 of 1841 providers nationally (99th percentile; extreme outlier) and J9144 ranks #21 of 615 providers nationally (97th percentile; notably above typical national volume), indicating dominant supply or high-volume administration of these agents relative to peers. Additional extreme or notable outlier signals appear for general oncology throughput and evaluation codes (96413 ranks #35 of 7514, 100th percentile; 99214 ranks #654 of 479517, 100th percentile), reinforcing that this provider operates at a scale well above typical national volumes for both drug administration and some E/M services.

    Operationally, claim counts suggest sustained, repeat treatments rather than one-off administrations: examples include 47K claims for J9271, 34.3K claims for J9299, 29.2K claims for J9144, and 26.8K claims for J0185, which together imply ongoing treatment regimens and high patient throughput. The presence of many infusion-related CPT/HCPCS codes (96365, 96372, 96375, G0498) alongside E/M codes indicates integrated clinical and infusion workflows that support serial oncology care.

    From a utilization and payer-review perspective, the practice's heavy reliance on a few high-revenue oncology drugs and multiple outlier rankings means it will stand out in network analyses, utilization management reviews, and competitive benchmarking. Those patterns are neutral operational flags that recommend closer review for contract negotiations, drug purchasing strategies, and capacity planning, given the concentration of Medicare revenue in J9271/J9144/J9299.

    The lack of any Medicaid billing on file is notable: this provider has no recorded Medicaid revenue, which reduces exposure to Medicaid payment rules and reimbursement rates but may limit participation in state Medicaid networks or community safety-net activity. For payers and market analysts, this single-payer Medicare concentration should be considered when assessing network adequacy, population coverage, and competitive positioning in the Florida oncology market.

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg47,000$40$2M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj29,160$40$1.1M
    J9299Injection, nivolumab, 1 mg34,340$20$824.2K
    J0897Injection, denosumab, 1 mg15,840$20$285.1K
    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…2,390$100$236.3K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg5,890$40$211.9K
    J1449Injection, eflapegrastim-xnst, 0.1 mg4,620$30$124.7K
    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…1,190$100$122.6K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg4,160$20$95.7K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units8,430$10$50.6K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271321016,100$40$802.7K
    J9299107015,580$20$423.9K
    J91442809,000$40$410.6K
    J1569441304,080$40$176.2K
    J0897821,0603,290$20$106.5K
    J144912403,560$30$99.2K
    J1437551102,700$20$59.9K
    Q51194401,850$20$50.1K
    J0885862406,630$10$45.6K
    964135730200$100$26.1K

    Showing 1–10 of 65

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Cancer Specialists & Research Institute, LLCFLMedical Oncology Physician$0$63.5M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    Christopher LoboFLMedical Oncology Physician$6.1M$0
    Syed ZafarFLMedical Oncology Physician$6M$0
    Yusef Haj-darwishMAEmergency Medicine Physician$744K$5M
    Ronald GoodwichFLNuclear Medicine Physician$5.7M$0
    Steven NewmanFLMedical Oncology Physician$5.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physicians Day Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$2.2M$0
    David GreschlerFLPain Medicine (Anesthesiology) Physician$861.6K$0
    Henry BiggsFLAdult Reconstructive Orthopaedic Surgery Physician$703.8K$0
    Mamad BagheriFLMOHS-Micrographic Surgery Physician$657.6K$0
    Benjamin DittyFLNeurological Surgery Physician$590.6K$0
    Diane BrzezinskiFLInternal Medicine Physician$524.6K$0
    Gregory RubinFLSports Medicine (Family Medicine) Physician$477.1K$0
    David WhiteFLInternal Medicine Physician$391.9K$0
    Michael HavigFLSports Medicine (Orthopaedic Surgery) Physician$388K$0
    Nijal ShethFLNephrology Physician$343.7K$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. Florida Distribution
    Andrew Lipman — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida