Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNikolaos Trikalinos
    Ask Trek AI about this page

    Nikolaos Trikalinos — Billing Profile & Reimbursement Data

    NPI 1790947224 · Saint Louis, MO · Medical Oncology Physician

    Customize your policy alerts

    Sign up for Nikolaos Trikalinos — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nikolaos Trikalinos is a medical oncology physician provider located in Saint Louis, Missouri. This profile covers 39 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNikolaos Trikalinos
    Address4921 Parkview Pl
    CitySaint Louis
    StateMO
    ZIP63110
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJune 26, 2008

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    NIKOLAOS TRIKALINOS is a Medical Oncology Physician in SAINT LOUIS, MO with lifetime Medicare revenue of $1.6M and Medicaid revenue: none (no Medicaid billing on file). The provider’s NPI was enumerated on 2008-06-26 (~18 years ago), indicating long-standing participation in Medicare programs.

    Revenue is highly concentrated in three injectable therapy codes: J9271 accounts for $576.2K (35.9% of this provider's total Medicare revenue), J2353 accounts for $476.3K (29.7%), and J9144 accounts for $396.7K (24.7%). Together these top three codes represent 90.3% of this provider's total Medicare revenue, signaling a narrowly focused revenue base tied to specific oncology agents.

    The code mix points to an infusion- and drug-delivery–centric oncology practice rather than a high-volume office visit model: high-revenue J-codes for pembrolizumab, octreotide depot, and daratumumab dominate, while evaluation-and-management revenue is modest (99214: $19.6K, 200 claims, 1.2%). Chemotherapy administration codes (e.g., 96413: $41.2K, 408 claims) appear but contribute far less than the J-code drug revenues, suggesting operations emphasize procurement and administration of specialty injectables.

    Competitive standing is mixed by code: for J2353 this provider ranks #1 of 18 providers nationally (100th percentile; notably above typical national volume), marking them as a dominant outlier for octreotide depot. By contrast, J9271 ranks #806 of 1841 (55th percentile; typical, unremarkable volume) and J9144 ranks #191 of 615 (67th percentile; typical, unremarkable volume), indicating moderate participation on those agents relative to national peers.

    Claim volumes and per-claim payments differ materially across the top agents: J9271 shows 13.4K claims at $43 avg paid/claim, J9144 shows 10.4K claims at $38 avg paid/claim, and J2353 shows 2.9K claims at $162 avg paid/claim. This pattern suggests revenue drivers include both high unit counts for some agents and higher per-unit reimbursement for others, so supply-chain and inventory management for high-volume, lower-unit-price agents is likely important to operations.

    The provider is effectively single-payer with respect to public programs—Medicare accounts for the documented public revenue stream while Medicaid is absent—which creates payer-concentration exposure if commercial or Medicaid volumes shift or if Medicare reimbursement policies change. Analysts and payers should treat this profile as Medicare-centric when assessing utilization risk and network value.

    Tenure and stability are supported by the long NPI history (2008-06-26, ~18 years ago) combined with sustained high-volume J-code activity, which together suggest an established infusion practice with operational experience managing specialty oncology therapies. This longevity may reflect stable referral relationships or clinic infrastructure needed to support repeated injectable therapy administration.

    Ancillary-service footprint is limited in billed E/M revenue and procedural diagnostics: small contributions from office visits (99214: $19.6K) and bone marrow biopsy (38222: $2.9K) imply that the office’s clinical workflow prioritizes infusion sessions and drug administration logistics over high-frequency diagnostic or consultative visits. For payers evaluating network capacity, the provider appears to function primarily as an infusion/drug-administration node rather than a broad outpatient oncology clinic.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg13,400$40$576.2K
    J2353Injection, octreotide, depot form for intramuscular injection, 1 mg2,940$160$476.3K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj10,440$40$396.7K
    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…410$100$41.2K
    J0897Injection, denosumab, 1 mg1,620$20$29.2K
    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…200$100$19.6K
    G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…60$130$7.6K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.110$60$6.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg50$130$6K
    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…240$20$5.6K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927110409,100$40$502K
    J91446207,200$40$308.4K
    J23531101,100$160$225.3K
    J08971402102,400$20$82.4K
    9641324160140$100$19.1K
    J92176470100$130$17.7K
    J3490188040$150$14K
    992142,6788,960100$80$13.9K
    992137,2618,73070$50$7K
    G049884040$130$6.1K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Washington UniversityMOMulti-Specialty Clinic/Center$0$22M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$14.8M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$10.4M
    Washington UniversityMOEmergency Care Clinic/Center$0$9.1M
    Washington UniversityMOEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.9M
    Washington UniversityMOEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.4M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$4M
    John ViscontiILMedical Oncology Physician$2.8M$149.1K
    Deepnarayan TiwarriMDHematology & Oncology Physician$2.6M$0
    Peter OppeltMOMedical Oncology Physician$2.5M$15.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Council For Extended CareMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$98.1M
    St. Louis Children's HospitalMOChildren's Hospital$0$66.9M
    Barnes Jewish HospitalMOGeneral Acute Care Hospital$0$61.4M
    Paraquad IncMOCustomized Equipment (DME)$0$56.3M
    Cooperative Home Care, Inc.MOHome Health Agency$0$20.6M
    New Beginnings In Home Services, LLCMOIn Home Supportive Care Agency$0$11.6M
    Bjc Home Care ServicesMODurable Medical Equipment & Medical Supplies$0$8.2M
    Wallace Family In Home Health LLCMOIn Home Supportive Care Agency$0$6.6M
    Cooperative Home CareMOHome Health Agency$0$5.5M
    Josephines Caring HandsMOIn Home Supportive Care Agency$0$3.4M

    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. Missouri Distribution
    Nikolaos Trikalinos — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri