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 & MedicaidNicklas Oldenburg
    Ask Trek AI about this page

    Nicklas Oldenburg — Billing Profile & Reimbursement Data

    NPI 1801899760 · Providence, RI · Radiation Oncology Physician

    Customize your policy alerts

    Sign up for Nicklas Oldenburg — 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.

    Nicklas Oldenburg is a radiation oncology physician provider located in Providence, Rhode Island. This profile covers 14 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
    OrganizationNicklas Oldenburg
    Address825 N Main St
    CityProvidence
    StateRI
    ZIP02904
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMay 24, 2005

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

    Payer SourceTotal Paid
    Medicare$399.1K
    Medicaid$0

    Key Findings

    This provider is a radiation oncology clinician by taxonomy and the billing mix is dominated by radiation treatment delivery and planning services. The single largest revenue source is G6015 (595 claims, $176.1K revenue, 44.1% of this provider's total Medicare revenue), and other high‑value technical codes such as 77014 (678 claims, $62.4K, 15.6%) and 77301 (35 claims, $51.6K, 12.9%) point to a practice primarily delivering fractionated external beam therapy with IMRT planning and delivery components.

    Revenue concentration is pronounced: the precomputed top‑3 codes account for 72.6% of this provider's total Medicare revenue, which indicates most Medicare dollars are tied to a small set of technical radiation codes rather than a broad mix of services. That concentration raises operational sensitivity to changes in utilization or reimbursement for those specific codes (G6015, 77014, 77301).

    Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $399.1K and there is no Medicaid billing on file. With Medicaid activity absent, analyses of this provider should treat commercial and Medicare dynamics as the primary revenue levers, and not rely on Medicaid as a source of volume or cross‑subsidy.

    Competitive standing on the highest‑revenue codes is modest and broadly "typical, unremarkable" nationally rather than dominant. G6015 ranks #660 of 1429 providers (54th percentile; typical, unremarkable volume), 77014 ranks #1436 of 4303 (67th percentile; typical, unremarkable volume), and 77301 ranks #1940 of 3815 (48th percentile; typical, unremarkable volume), indicating routine participation in these services but not market leadership on a national basis.

    Operational detail in the code mix supports an active treatment workflow with frequent fraction deliveries and ongoing physics oversight: 77336 (ongoing medical physics consultation) appears with 186 claims and $13K revenue (3.3%), while 77427 (radiation therapy delivery) shows 179 claims and $27.4K (6.9%). The presence of both treatment delivery and weekly physics codes is consistent with a practice managing courses of radiation therapy rather than occasional consults only.

    There are low‑percentile footprints in some specialized or advanced service codes that suggest limited use of certain technologies: G6017 (intra‑fraction localization/tracking) has $731 revenue (0.2%) and ranks #321 of 344 providers (6th percentile; typical, unremarkable volume), and 77334 (custom device construction) has $4.2K (1.1%) and ranks at the 12th percentile. These placements indicate selective or infrequent use of intra‑fraction tracking and custom device construction relative to national peers.

    Clinical evaluation and management activity is present but secondary to technical radiation services: 99213 accounts for $9.7K (2.4%) with 156 claims and is reported at the 72th percentile (typical, unremarkable volume), 99205 contributes $6.6K (1.7%) at the 69th percentile, and 99215 contributes $3.2K (0.8%) at the 31th percentile. This mix suggests the provider conducts office visits and new patient evaluations alongside a heavier emphasis on treatment delivery codes.

    The provider has a long enrollment history, with NPI enumeration on 2005-05-24 (~21 years ago), which supports a stable presence in the Medicare program. Given that tenure but a lifetime Medicare revenue total of $399.1K, the profile is consistent with a smaller, focused radiation oncology practice or a clinician whose Medicare volume is concentrated into a limited set of technical treatment services rather than broad, high-volume outpatient practice expansion.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session600$300$176.1K
    77014N/A680$90$62.4K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…40$1,470$51.6K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…180$150$27.4K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev100$200$19.9K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…190$70$13K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…40$370$12.9K
    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…160$60$9.7K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…130$50$6.8K
    99205The provider sees a new 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 provider…40$170$6.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015410300$290$125.9K
    77014410410$80$39.6K
    7730151030$990$29.7K
    77427620150$160$21.3K
    G601251090$190$20.3K
    7733851030$280$9.6K
    7733631090$70$7.9K
    77334122090$70$7.7K
    992134671,95070$60$7.4K
    773001020140$40$6.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brockton Hospital, Inc.MAGeneral Acute Care Hospital$0$160.8M
    Signature Healthcare Medical Group IncMAInternal Medicine Physician$0$33.4M
    Edward MedeirosRINephrology Physician$87.2K$6.8M
    Lifespan Physician Group, Inc.RIUrgent Care Clinic/Center$0$6.5M
    Lifespan Physician Group, Inc.RIGeneral Practice Physician$0$5.6M
    Lifespan Physician Group, Inc.RIPsychiatry Physician$0$4.4M
    Richard LimRIInternal Medicine Physician$52.2K$3.4M
    Elizabeth JamesRICounselor$0$2.3M
    Scott GreenbergRIRetina Specialist (Ophthalmology) Physician$1.8M$1.6K
    Altin PaniRIRetina Specialist (Ophthalmology) Physician$1.7M$17K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Providence Center IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$170.9M
    Re-focus Inc.RIDevelopmentally Disabled Services Day Training Agency$0$102.5M
    Hopehealth Hospice & Palliative CareRICommunity Based Hospice Care Agency$0$33.3M
    Mas Medical StaffingRIHome Health Agency$0$24.5M
    Generations Adult Day Health CenterRIAdult Day Care Clinic/Center$0$16.3M
    Prospect Chartercare Sjhsri, LLCRIGeneral Acute Care Hospital$0$10.9M
    Global Homecare And Staffing IncRIHome Health Agency$0$8.3M
    Emergency Care Services Of New England PCRIEmergency Medicine Physician$0$6.9M
    State Of Rhode IslandRIClinical Medical Laboratory$570$6.4M
    The Providence CenterRICommunity/Behavioral Health Agency$0$5.9M

    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. Rhode Island Distribution
    Nicklas Oldenburg — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island