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    OpenPayerNPI Medicare & MedicaidVladimir Hugec
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    Vladimir Hugec — Billing Profile & Reimbursement Data

    NPI 1790723328 · Maplewood, MN · Hematology & Oncology Physician

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    Vladimir Hugec is a hematology & oncology physician provider located in Maplewood, Minnesota. This profile covers 77 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
    OrganizationVladimir Hugec
    Address1580 Beam Ave
    CityMaplewood
    StateMN
    ZIP55109
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 4, 2006

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is concentrated in oncology immunotherapy and diagnostic imaging: the top three revenue codes are J9271 ($481.6K, 29.0%), J9299 ($292.8K, 17.6%), and A9595 ($143.5K, 8.6%), and those top 3 codes account for 55.2% of this provider's total Medicare revenue. The presence of high-revenue, drug-administration codes (pembrolizumab and nivolumab) alongside a PET diagnostic code suggests an office-based oncology practice that delivers immunotherapy infusions and coordinates advanced imaging for staging or response assessment.

    Revenue concentration is high within Medicare: total Medicare revenue is $1.8M and more than half of that is captured by the three leading codes (55.2%). This concentration indicates a business model heavily dependent on a small set of high-cost oncology drugs and associated diagnostics rather than a broad, diversified billing mix.

    Payer mix is effectively single-payer at the claims level: the record shows Total Medicare revenue of $1.8M and no Medicaid billing on file, so the practice operates with Medicare as the dominant public payer and has no measurable Medicaid footprint. That single-payer profile may reflect the provider’s patient panel, referral patterns, or contractual/credentialing choices rather than a balanced Medicare–Medicaid mix.

    On national competitive standing for the top oncology drugs, this provider is a modest participant: J9271 (pembrolizumab) “ranks #1028 of 1841 providers nationally (43th percentile; typical, unremarkable volume for this code)” and J9299 (nivolumab) “ranks #302 of 505 providers nationally (40th percentile; typical, unremarkable volume for this code)”. A9595 (piflufolastat f-18) is somewhat higher relative to peers at “ranks #190 of 528 providers nationally (64th percentile; typical, unremarkable volume for this code)”, indicating moderate use of this diagnostic agent compared with national peers rather than market dominance.

    Certain services and supportive-care drugs show elevated use relative to peers and stand out as statistical outliers: 99214 (established office visit) is an “extreme outlier, far above typical national volume” at “ranks #8785 of 479517 providers nationally (98th percentile)”, while J2506 (pegfilgrastim) “ranks #18 of 586 providers nationally (97th percentile; notably above typical national volume for this code)” and J9217 (leuprolide acetate) “ranks #124 of 3683 providers nationally (97th percentile; notably above typical national volume for this code)”. These signals point to very high E/M throughput and above-typical provisioning of supportive oncology medications.

    Ancillary and laboratory services are consistently high relative to national peers, supporting the interpretation of an active outpatient oncology practice with on-site monitoring: 80053 (CMP) “ranks #1274 of 26416 providers nationally (95th percentile)”, 85025 (CBC) “ranks #1712 of 32833 providers nationally (95th percentile)”, 36415 (venipuncture) “ranks #2412 of 86467 providers nationally (97th percentile)”, and 84153 (PSA) “ranks #468 of 8151 providers nationally (94th percentile)”. The high percentiles for routine labs and blood draws are consistent with frequent treatment cycles and laboratory monitoring.

    Imaging utilization shows meaningful but not extreme activity: A9595 is a top-3 revenue driver and “ranks #190 of 528 providers nationally (64th percentile; typical, unremarkable volume for this code)”, while 78815 (PET/CT) “ranks #2462 of 6566 providers nationally (62th percentile; typical, unremarkable volume for this code)”. This pattern suggests the provider routinely orders PET-based diagnostics as part of oncologic care, but imaging volumes are in line with typical national practice rather than indicating unusually high imaging throughput.

    The provider has a long-tenure NPI: NPI enumerated (registered) 2006-06-04 (~20 years ago), which indicates an established clinical presence. Combined with the billing mix and high E/M volumes, the tenure supports a picture of an experienced hematology/oncology physician running a mature outpatient infusion and monitoring practice rather than a recently established or sporadic biller.

    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.

    77 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg11,200$40$481.6K
    J9299Injection, nivolumab, 1 mg12,200$20$292.8K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie300$480$143.5K
    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…1,110$100$105.4K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg1,180$90$102.3K
    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.…80$1,210$100.5K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg2,890$20$66.5K
    J0897Injection, denosumab, 1 mg3,360$20$60.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg420$130$55.6K
    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…470$110$49.9K

    Showing 1–10 of 77

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 77 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    77 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927112707,200$40$323.3K
    J92993205,240$20$159.4K
    A9595410280$490$135.8K
    J089722901,770$20$50.8K
    J2506120290$80$34.3K
    Q5118320990$20$33.7K
    Q51196301,380$20$29.5K
    788155418050$250$25.6K
    J088142010,680$1$25.4K
    A9552176030$370$17.2K

    Showing 1–10 of 77

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holland CenterMNDevelopmentally Disabled Services Day Training Agency$0$16.3M
    Minnesota Oncology Hematology, PAMNHematology & Oncology Physician$0$8.1M
    Robert DelauneMNHematology & Oncology Physician$1.9M$0
    Yang LiuMNHematology & Oncology Physician$1.4M$0
    David KingMNMedical Oncology Physician$1.3M$0
    Avina SinghMNHematology & Oncology Physician$971.9K$0
    Ben ZhangMNHematology & Oncology Physician$914.4K$0
    Uzma AliMNHematology & Oncology Physician$868.9K$0
    Samith Thomas KochuparambilMNHematology & Oncology Physician$827.8K$0
    Ryan FunkMNRadiation Oncology Physician$716.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem Ramsey, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$207.6M
    Community Dental Care IncMNGeneral Practice Dentistry$0$30.7M
    Senior Home Living IncMNPersonal Care Attendant$0$29.4M
    Rainbow Home Healthcare IncMNHome Health Agency$0$22.2M
    Healtheast St. John's HospitalMNGeneral Acute Care Hospital$0$17.9M
    Cochran Recovery ServicesMNSubstance Abuse Rehabilitation Facility$0$15.4M
    Ardent Home Health Care Inc.MNHome Health Agency$0$12.2M
    First Nations, LLCMNIn Home Supportive Care Agency$0$11.3M
    Hmong Minnesota Senior CenterMNAdult Day Care Clinic/Center$0$10M
    Healtheast Medical Research InstituteMNClinic/Center$0$7.4M

    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. Minnesota Distribution
    Vladimir Hugec — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota