Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Douglas Debenham (NPI 1821056425)

Field	Value
Entity Type	Individual
Organization	Douglas Debenham
Address	3699 Epworth Rd
City	Newburgh
State	IN
ZIP	47630
Taxonomy	Radiation Oncology Physician
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This provider is a radiation oncology physician by taxonomy and has been NPI‑enumerated since 2006‑05‑03 (~20 years ago), indicating an established clinical presence. The Medicare billing mix is concentrated in radiation treatment delivery and planning services rather than broad primary care or procedural diversity, consistent with a specialty radiation practice model.

Medicare is effectively the sole payer on file: total Medicare revenue is $1.8M and there is no Medicaid billing on file, so this provider operates as a single‑payer (Medicare) biller in the available data. Analysts should treat the practice as Medicare‑dependent for public payer revenue analyses.

Revenue concentration is pronounced: the precomputed top‑3 Medicare codes account for 85.4% of total Medicare revenue. Those top three codes are G6015 ($1M, 58.4% of Medicare revenue), 77014 ($345.6K, 19.7%), and 77301 ($127.3K, 7.3%), showing most revenue is driven by a handful of treatment and planning codes.

Operationally the code mix indicates a high-volume IMRT treatment delivery operation: G6015 appears as the dominant code with 3.6K claims and $285 avg paid/claim, consistent with routine per‑session intensity‑modulated treatment delivery. Complementary codes such as 77301 (89 claims, $1430 avg paid/claim) and 77338 (167 claims, $360 avg paid/claim) reflect planning and MLC design work necessary to support complex IMRT workflows, suggesting this provider’s services center on advanced radiotherapy courses rather than brief consults.

Competitive standing for key treatment codes is unusually strong at the national level: G6015 ranks #28 of 1429 providers (98th percentile; extreme outlier) and 77014 ranks #32 of 4303 providers (99th percentile; extreme outlier), indicating far higher than typical national volume for those codes and positioning this provider as a major national outlier on treatment delivery volume. By contrast, 77301 ranks #309 of 3815 providers (92th percentile; typical, unremarkable volume), indicating planning activity is high relative to many peers but not as anomalous as the delivery codes.

Several ancillary oncology support codes are also comparatively elevated: 77427 reported 728 claims with $150 avg paid/claim and $109.2K revenue (6.2% of Medicare revenue) and ranks #63 of 4720 providers (99th percentile; extreme outlier), while 77336 (730 claims, $68 avg paid/claim) ranks #50 of 1488 providers (97th percentile; notably above typical national volume). These volumes reinforce that treatment delivery plus ongoing physics/quality support are core revenue drivers for the practice.

The absence of any Medicaid billing on file (none below) means there is no Medicaid intake to assess competitive standing or in‑state market share; state‑level payer dynamics cannot be evaluated from public claims here. For payers or analysts interested in commercial or Medicaid contracting, the data indicate negotiations would be with a Medicare‑focused radiation provider rather than a dual‑payer clinic.

From a risk and capacity perspective, the high concentration in a few high‑volume codes (top 3 = 85.4% of Medicare revenue) implies that changes in reimbursement or utilization for those specific IMRT delivery codes would disproportionately affect the provider’s revenue stream. Given the provider’s long tenure (~20 years) and the operational footprint suggested by high session counts (e.g., 3.6K claims for both G6015 and 77014), this appears to be a mature radiation therapy operation with substantial throughput concentrated in advanced radiation delivery services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	3,590	$290	$1M
77014	N/A	3,640	$100	$345.6K
77301	Intensity 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…	90	$1,430	$127.3K
77427	Radiation 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…	730	$150	$109.2K
77338	In 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…	170	$360	$60.1K
77336	This 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…	730	$70	$49.6K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	90	$130	$11.5K
77300	Radiation 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…	180	$50	$8.9K
99204	The provider sees a new 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 provider…	60	$130	$7.5K
99205	The 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	$6.1K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Douglas Debenham — 5 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	1	20	900	$260	$331.2K
77427	1	110	180	$140	$28.9K
77301	8	80	40	$570	$27.3K
77014	1	110	500	$50	$27.1K
77336	1	30	270	$60	$16.9K
77338	3	80	40	$220	$11.6K
77263	27	90	70	$130	$8.9K
77300	60	110	200	$30	$7.2K
99205	373	1,170	30	$140	$5.1K
99204	1,193	4,690	30	$100	$4.9K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Medical Group, Inc.	IN	Orthopaedic Surgery Physician	$0	$70.4M
Sjhmc Physician Services	AZ	Multi-Specialty Clinic/Center	$0	$46.6M
St. Mary's Health, Inc.	IN	General Acute Care Hospital	$0	$34.6M
Scl Health Medical Group - Billings LLC	MT	Clinic/Center	$0	$32.2M
St Mary's Medical Group, LLC	IN	Family Medicine Physician	$0	$31.1M
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Scl Health Montana	MT	General Acute Care Hospital	$0	$13.5M
St. Vincent Medical Group, Inc.	IN	Rural Health Clinic/Center	$0	$10.2M
Scl Health Medical Group-butte LLC	MT	Family Medicine Physician	$0	$9.9M
St. Mary's Health, Inc.	IN	Ambulance	$792K	$2.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deaconess Women's Hospital Of Southern Indiana, LLC	IN	General Acute Care Hospital	$0	$6.9M
Deaconess Clinic, Inc	IN	Pediatrics Physician	$0	$6.6M
Newburgh Urgent Care LLC	IN	Nurse Practitioner	$0	$6.2M
Deaconess Hospital, Inc	IN	Emergency Medicine Physician	$0	$3.3M
Brentwood Meadows, LLC	IN	Psychiatric Hospital	$0	$3.3M
Paul W Morrison, Md, LLC	IN	Obstetrics & Gynecology Physician	$0	$3.2M
Charles Lackey	IN	Diagnostic Radiology Physician	$683.9K	$0
Mohammed Adeel	IN	Physical Medicine & Rehabilitation Physician	$298.2K	$384.3K
Anthony Czaplicki	IN	Orthopaedic Surgery Physician	$515.6K	$0
Evansville Endoscopy Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$489.5K	$0

Douglas Debenham — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References