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 & MedicaidChandana Javvaji
    Ask Trek AI about this page

    Chandana Javvaji — Billing Profile & Reimbursement Data

    NPI 1821437716 · Sioux City, IA · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Chandana Javvaji — 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.

    Chandana Javvaji is a hematology & oncology physician provider located in Sioux City, Iowa. This profile covers 69 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
    OrganizationChandana Javvaji
    Address230 Nebraska St
    CitySioux City
    StateIA
    ZIP51101
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 24, 2013

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This profile is effectively single‑payer Medicare: lifetime Medicare revenue is $1.6M while there is no Medicaid billing on file (none). The provider’s NPI has been enumerated since 2013-06-24 (~13 years ago), indicating an established presence in the Medicare market.

    Revenue is highly concentrated in a small set of high-cost oncology drugs: the precomputed top three Medicare codes account for 83.2% of this provider’s total Medicare revenue, driven primarily by J9271 ($885.8K, 56.7%) and J9299 ($322K, 20.6%), with J0897 contributing $92.9K (5.9%). This concentration means most Medicare dollars flow through a few injectable treatments rather than office visits or ancillary services.

    The code mix identifies a medical oncology infusion practice focused on checkpoint inhibitors and supportive oncology care. Large revenues from J9271 (pembrolizumab) and J9299 (nivolumab), combined with chemotherapy administration codes such as 96413 ($35.1K, 2.2%) and add‑on codes 96411/96417, plus supportive agents like J2506 (pegfilgrastim, $18.7K, 1.2%) and J0897 (denosumab), point to routine infusion services with drug administration as the primary service line.

    Competitive standing on the top drugs is mixed: J9271 ranks #365 of 1841 providers nationally (80th percentile; typical, unremarkable volume for this code), indicating above‑median activity but not dominance, while J9299 ranks #271 of 505 providers nationally (46th percentile; typical, unremarkable volume for this code), reflecting only modest participation in that agent. J0897 sits at #2733 of 10057 (73th percentile; typical, unremarkable volume for this code), showing a relatively common but not leading role in denosumab administration.

    Office evaluation and management revenue is present but small relative to drug revenue: 99214 produced $44.9K (2.9%) and 99215 produced $23.3K (1.5%) of Medicare revenue, suggesting that patient visits and physician time are secondary revenue drivers compared with infused oncology therapeutics. This pattern is consistent with an infusion‑center model where high-cost drugs dominate reimbursement.

    Laboratory and venipuncture activity is elevated versus national peers, supporting an infusion/oncology workflow that requires frequent labs and blood draws: 80053 (CMP) shows 1.2K claims and $12.1K (0.8%) revenue and ranks #1150 of 26416 providers nationally (96th percentile), 85025 (CBC) shows 1.3K claims and $10.7K (0.7%) revenue and ranks #1668 of 32833 (95th percentile), and 36415 shows 1K claims and $8.1K (0.5%) revenue with a 97th percentile rank. These high percentiles indicate more intensive lab/collection volume than typical for the average national provider.

    Participation in biosimilars and less common therapeutics appears limited but present: Q5115 (rituximab‑abbs, truxima) produced $38.8K (2.5%) and ranks #77 of 79 providers nationally (3th percentile; typical, unremarkable volume for this code), implying the provider bills this biosimilar but is low in the national rank order for that specific code. Similarly, J2506 (pegfilgrastim) ranks #485 of 586 providers nationally (15th percentile; typical, unremarkable volume for this code), showing modest use of growth‑factor support relative to peers.

    For payer strategy and contracting considerations, the dominant exposure to high‑cost injected oncology agents (J9271 $885.8K and J9299 $322K) suggests that reimbursement and drug acquisition terms for these agents will be the primary drivers of financial performance on Medicare. Given the lack of Medicaid billing (none), any network/contracting decisions or utilization management initiatives should be evaluated against an essentially Medicare‑only billed revenue base for this clinician.

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg20,600$40$885.8K
    J9299Injection, nivolumab, 1 mg14,000$20$322K
    J0897Injection, denosumab, 1 mg5,160$20$92.9K
    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…520$90$44.9K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg1,140$30$38.8K
    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…370$90$35.1K
    99215The provider sees an established 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…180$130$23.3K
    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…370$60$21.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg230$80$18.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,210$10$12.1K

    Showing 1–10 of 69

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 69 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    69 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927183017,200$40$902.3K
    J929951018,700$20$527.6K
    J0897381901,920$20$74.1K
    Q51159101,790$30$71.4K
    J25061520440$80$38.9K
    964132080210$90$24K
    992144584,690100$70$14.4K
    9923335591060$90$10.5K
    992329581,74080$60$9.3K
    992133944,740100$50$8K

    Showing 1–10 of 69

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary Washington Hospital Inc.VAGeneral Acute Care Hospital$0$80.1M
    Northwest Iowa Hospital CorporationIAGeneral Acute Care Hospital$0$22.8M
    Northwest Iowa Hospital CorporationIAEmergency Medical Services (Emergency Medicine) Physician$0$7.9M
    Donald WenderIAHematology & Oncology Physician$2.6M$0
    Nibash BudhathokiMOHematology & Oncology Physician$2.2M$0
    Lisa ChaikenCARadiation Oncology Physician$1.6M$0
    Jay RobinowKSRadiation Oncology Physician$1.2M$0
    Jason BaileyCADiagnostic Radiology Physician$848.4K$20
    Curtis BurhoopNEDiagnostic Radiology Physician$687.7K$0
    Wesley PruettMNDiagnostic Radiology Physician$441.3K$770

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jackson Recovery Centers, Inc.IASubstance Abuse Rehabilitation Facility$0$28.5M
    Siouxland Mental Health Services, Inc.IACommunity/Behavioral Health Agency$0$25.7M
    City Of Sioux City Accounting DivisionIAAmbulance$520.5K$19.2M
    Marian Health Center-smhcIAGeneral Acute Care Hospital$0$15.5M
    Family Health Care Of Siouxland PlcIAFamily Medicine Physician$0$11.1M
    Family Wellness Associates, Inc.IACommunity/Behavioral Health Agency$0$4M
    Woodbury Emergency Group, PCIAEmergency Medicine Physician$0$3M
    Building Bridges Counseling & Associates IncIACommunity/Behavioral Health Agency$0$2.5M
    Mercy Medical ServicesIAInternal Medicine Physician$0$2M
    Counseling And Support Services IncIASocial Worker$0$1.8M

    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. Iowa Distribution
    Chandana Javvaji — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa