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 & MedicaidWilliam Mcevoy
    Ask Trek AI about this page

    William Mcevoy — Billing Profile & Reimbursement Data

    NPI 1821222761 · Daphne, AL · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for William Mcevoy — 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.

    William Mcevoy is a hematology & oncology physician provider located in Daphne, Alabama. This profile covers 65 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
    OrganizationWilliam Mcevoy
    Address29653 Anchor Cross Blvd
    CityDaphne
    StateAL
    ZIP36526
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 6, 2009

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: Total Medicare revenue is $1.7M while Total Medicaid revenue is none (no Medicaid billing on file), indicating all reported public‑payer activity comes through Medicare and that Medicaid does not appear in the payer mix. That concentration increases sensitivity to Medicare reimbursement and utilization patterns for oncology services.

    Revenue is highly concentrated in a small number of drugs and services: the precomputed top‑3 Medicare codes account for 83.3% of Medicare revenue, with J9271 alone representing $911.6K (57.5% of this provider's total Medicare revenue). This level of concentration implies the practice’s financial profile depends heavily on infusion drug administration rather than volume of routine office visits.

    The code mix and top revenue drivers are consistent with an outpatient oncology infusion practice: dominant billing for J9271 (pembrolizumab) and J0897 (denosumab) alongside chemotherapy administration codes such as 96413 and G0498 shows care centered on high‑cost oncology injections and associated infusion services. Presence of E/M codes (99214, 99213) and chemotherapy administration add‑on codes (96417, 96367) indicate the clinic also manages evaluation and ongoing infusion follow‑up.

    Competitive standing varies by code: J0897 ranks #371 of 10057 nationally (96th percentile; notably above typical national volume for this code), signaling unusually high denosumab volume versus peers, while 99214 ranks #11594 of 479517 (98th percentile; notably above typical national volume), indicating above‑typical office visit volume. By contrast, J9271 ranks #340 of 1841 (81th percentile; typical, unremarkable volume for this code), so pembrolizumab revenue is large in dollar terms but not exceptional in national ranking.

    Operational and ancillary service pattern: substantial claims for blood draws and panels (36415: 1.7K claims, $13.4K revenue; 80053: 1.3K claims, $13.1K revenue) alongside pathology/flow cytometry (88185) reflect routine lab monitoring and diagnostic support consistent with active oncology care. These lab and specimen counts support an infusion workflow that requires frequent laboratory surveillance and tie closely to infusion throughput.

    Several procedure codes are flagged as “notably above typical” activity, highlighting throughput strengths: 96367 (739 claims) is noted as notably above typical national volume, and 96372 (484 claims) and 99214 (995 claims) are also described as notably above typical. Those labels point to comparatively elevated rates of additional infusions, injection procedures, and moderate‑complexity follow‑up visits relative to national peers.

    The provider’s tenure is long enough to establish an ongoing referral and treatment footprint: NPI enumerated 2009-05-06 (~17 years ago), which, combined with $1.7M in lifetime Medicare revenue, suggests an established specialty practice that has built a targeted oncology treatment mix over time. That longevity supports the interpretation that the current code mix reflects stable clinical focus rather than a transient billing pattern.

    While several high‑volume chemotherapy and injection codes are present, many common monitoring and E/M codes are characterized as typical or unremarkable in national comparisons (for example, 36415 and many lab CPTs are labeled typical, unremarkable volume). This suggests the practice’s distinguishing financial feature is drug/injection revenue concentration rather than an outsized share of routine outpatient evaluation relative to peers.

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg21,200$40$911.6K
    J0897Injection, denosumab, 1 mg17,760$20$319.7K
    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…1,000$90$88.6K
    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…540$90$48.1K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units5,040$10$30.2K
    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…510$60$29.7K
    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…110$170$18.6K
    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…740$20$14.8K
    99204The 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…110$120$13.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,680$10$13.4K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271133019,900$40$827.2K
    J0897112003,120$20$97.7K
    8352151040$20$26K
    Q51064102,650$10$23.6K
    J92174350130$130$22.4K
    9641316150150$90$20.2K
    992141737,330120$80$16.8K
    881851330490$20$15.4K
    992331,4941,86080$90$13.4K
    8005338670140$10$13.1K

    Showing 1–10 of 65

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ali HachemALHematology & Oncology Physician$2.3M$0
    Brian HellerALHematology & Oncology Physician$2.3M$0
    Joseph JonesALHematology & Oncology Physician$1.6M$0
    Michael MeshadALHematology & Oncology Physician$1.1M$0
    Jeffrey GeorgeALHematology & Oncology Physician$1.1M$0
    Rachel KruspeALHematology & Oncology Physician$1M$0
    Nicole AngelALMedical Oncology Physician$985.3K$0
    Rosa Michel OrtegaALHematology & Oncology Physician$731.7K$0
    Rachael HarmonALRadiation Oncology Physician$729.3K$0
    Brittany CaseALMedical Oncology Physician$727.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eastern Shore Developmental ClinicALNurse Practitioner$0$4M
    Daphne Pediatric Dentistry IncALPediatric Dentistry$0$2M
    Kids Kount Therapy Services, LLCALEarly Intervention Provider Agency$0$1.5M
    Autism Behavior And Cognitive Development LLCALCommunity/Behavioral Health Agency$0$1.2M
    American Autism & Rehabilitation Center IncALOccupational Therapist$0$862.3K
    David ThomasonALPhysical Medicine & Rehabilitation Physician$536.1K$0
    Jonathan RainerALPhysical Medicine & Rehabilitation Physician$418.9K$0
    Alan StanfordALDermatology Physician$198K$0
    James SpainALSports Medicine (Family Medicine) Physician$176.4K$0
    John ToddALSpecialist$146.1K$0

    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. Alabama Distribution
    William Mcevoy — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama