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 Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho 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. Idaho (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.

Robert Fairbanks (NPI 1821084781)

Field	Value
Entity Type	Individual
Organization	Robert Fairbanks
Address	504 6th St
City	Lewiston
State	ID
ZIP	83501
Taxonomy	Radiation Oncology Physician
NPI Enumerated	September 26, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: Total Medicare revenue is $1.3M and Total Medicaid revenue is none (no Medicaid billing on file), so payer mix is concentrated entirely in Medicare with no Medicaid activity on file. That makes Medicare the sole observable source of fee-for-service billing for this NPI and should frame any network or utilization comparisons accordingly.

Revenue is highly concentrated in a small set of diagnostic imaging codes: the precomputed top 3 Medicare codes by revenue account for 65.8% of this provider's total Medicare revenue, with A9596 contributing 30.7% ($387.5K), 78815 contributing 28.7% ($363K), and A9552 contributing 6.4% ($80.4K). Those three line items together dominate the revenue profile and signal that a few high-value imaging services drive the majority of receipts.

The code mix indicates a dual role combining high-volume PET imaging and active radiation-therapy services. High-revenue imaging codes A9596 (Gallium ga-68 gozetotide) and 78815 (PET/CT) dominate revenue, while treatment- and planning-related codes such as 77427 ($75.1K), 77301 ($40K) and 77300 ($39.2K) also appear in the top line items, consistent with a radiation oncology practice that performs in-house or closely integrated PET/CT imaging to support therapy planning. This suggests workflows that link diagnostic nuclear medicine with IMRT and external-beam radiation delivery.

On competitive standing for PET imaging, the provider ranks at upper national percentiles for key tracers and PET/CT: A9596 ranks #12 of 168 providers nationally (93th percentile; typical, unremarkable volume for this code) and 78815 ranks #575 of 6566 providers nationally (91th percentile; typical, unremarkable volume for this code). Those ranks place the provider among higher-volume national participants for these PET services even though the dataset labels the volumes as typical, indicating they operate at scale for these specific imaging modalities relative to most peers.

Radiation-therapy planning and delivery volumes are notably elevated relative to peers: 77300 is marked an "extreme outlier, far above typical national volume" (rank #23 of 4719 providers nationally, 100th percentile) and multiple planning/dosimetry codes such as 77014 (rank #101 of 4303, 98th percentile; notably above typical) and 77427 (rank #151 of 4720, 97th percentile; notably above typical) are also high. In plain terms, the provider is a major outlier on several treatment-planning and simulation codes, indicating an above-typical throughput for radiation therapy services compared with national peers.

Clinical encounters and E/M services comprise a small share of revenue versus procedural imaging and treatment codes: typical office/clinic codes (for example 99204 $7.1K, 99205 $6.3K, and 99213 $3.2K) are present but represent minor portions of the Medicare revenue mix. This pattern reinforces that the practice’s financial profile is procedure- and technology-driven rather than driven by routine office-based evaluation and management.

The provider has a long tenure in the Medicare program, with the NPI enumerated 2005-09-26 (~21 years ago). This sustained enrollment coupled with concentrated, high-value imaging and therapy billing suggests an established radiation oncology practice with persistent service lines that have produced consistent Medicare receipts over many years.

From a utilization-risk and variability perspective, the combination of a few very large imaging/tracer revenue sources (A9596 and 78815) and several radiation planning/treatment codes that are "notably above typical" or an "extreme outlier" (e.g., 77300) means the provider’s Medicare revenue is sensitive to changes in PET tracer utilization, PET/CT volume, or radiation-therapy throughput. Analysts assessing contracting or capacity should treat imaging and treatment planning as the principal levers that would change this provider’s overall Medicare receipts.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9596	Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie	460	$840	$387.5K
78815	PET 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.…	310	$1,190	$362.9K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	290	$280	$80.4K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	70	$1,190	$79.7K
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…	540	$140	$75.1K
77014	N/A	2,240	$30	$71.7K
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…	130	$320	$40K
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…	1,630	$20	$39.2K
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…	140	$170	$23K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	480	$40	$21.1K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Robert Fairbanks — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9596	1	10	310	$850	$265.6K
77014	2	20	850	$50	$46.7K
77427	2	20	320	$140	$41.3K
77301	1	20	50	$640	$34.2K
78815	2	50	60	$440	$30.5K
77280	6	20	50	$160	$21.8K
A9552	1	20	50	$260	$17.5K
77338	1	20	50	$220	$13.7K
77263	1	20	90	$120	$11.5K
78816	1	10	20	$460	$11.2K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph Hospital LLC	ID	General Acute Care Hospital	$0	$4.7M
Cancer Care Northwest Centers P S	WA	Hematology & Oncology Physician	$0	$3M
Danko Martincic	ID	Hematology & Oncology Physician	$2.6M	$0
Columbia Surgical Specialists, Ps	WA	Ambulatory Surgical Clinic/Center	$891.1K	$1.2M
Vijay Narendran	FL	Hematology & Oncology Physician	$2M	$0
Saritha Thumma	WA	Hematology & Oncology Physician	$1.8M	$0
Hakan Kaya	WA	Medical Oncology Physician	$1.8M	$0
Christopher Lee	WA	Radiation Oncology Physician	$1.7M	$0
Elizabeth Gunderson	WA	Medical Oncology Physician	$1.6M	$0
Srivalli Gopaluni	WA	Hematology & Oncology Physician	$1.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Nursing Services, Inc.	ID	Adult Day Care Clinic/Center	$0	$29.3M
Catalyst Medical Group, PLLC	ID	Multi-Specialty Clinic/Center	$0	$11.4M
Opportunities Unlimited, Inc.	ID	Specialist	$0	$9.1M
County Of Nez Perce Independent School District No 1	ID	Local Education Agency (LEA)	$0	$3.5M
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$3.2M
City Of Lewiston	ID	Land Ambulance	$697.3K	$1.9M
Riverside Recovery LLC	ID	Addiction (Substance Use Disorder) Counselor	$0	$2.1M
Addus Healthcare (idaho), Inc	ID	In Home Supportive Care Agency	$0	$2M
Emeritus Properties Ii, Inc.	ID	Assisted Living Facility	$0	$1.9M
Hospitalist Medicine Physicians Of Idaho- Nampa PLLC	ID	Emergency Medicine Physician	$0	$1.7M

Robert Fairbanks — 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