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    OpenPayerNPI Medicare & MedicaidLuke Dreisbach
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    Luke Dreisbach — Billing Profile & Reimbursement Data

    NPI 1831109792 · Rancho Mirage, CA · Hematology & Oncology Physician

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    Luke Dreisbach is a hematology & oncology physician provider located in Rancho Mirage, California. This profile covers 76 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLuke Dreisbach
    Address34490 Bob Hope Dr.
    CityRancho Mirage
    StateCA
    ZIP92270
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedAugust 9, 2006

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

    Payer SourceTotal Paid
    Medicare$9.8M
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single-payer Medicare: lifetime Medicare revenue is $9.8M while there is no Medicaid billing on file. The absence of any Medicaid claims means analyses of payer mix and access should treat this as a Medicare-dominant practice rather than a dual-payer operation.

    Revenue is highly concentrated in a small set of oncology biologics: the precomputed top three Medicare codes account for 57.3% of this provider’s total Medicare revenue, driven by J9271 ($3.6M), J9144 ($985K) and J9022 ($870.9K). All three codes are high-cost injectable oncology therapies (pembrolizumab, daratumumab, atezolizumab), indicating a practice model centered on administering advanced anticancer immunotherapies.

    The provider shows national-level dominance on specific drugs: J9271 ranks #2 of 1841 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and Q5118 ranks #1 of 161 providers nationally (100th percentile; extreme outlier). These rank/percentile labels indicate this clinician is an unusually large national allocator of certain biologic injectables compared with peers.

    Infusion and chemotherapy administration are material service lines: high-percentile procedure codes include 96413 (1.5K claims, $172.1K revenue, ranks #15 of 7514 providers nationally; 100th percentile; extreme outlier), 96417 (627 claims, $35.1K revenue, ranks #4 of 3014 providers nationally; 100th percentile; extreme outlier) and G0498 (176 claims, $25.9K revenue, ranks #14 of 896 providers nationally; 98th percentile; extreme outlier). Combined with office E/M volume such as 99214 (2.5K claims, $251K revenue) this pattern is consistent with an on-site infusion clinic delivering both chemotherapy and follow-up visits.

    Supportive care and adjunct biologics are also prominent in the mix: J0897 (denosumab) produced $810K in revenue from 45K claims and is reported as an extreme outlier, Q5122 (pegfilgrastim-apgf biosimilar) produced $311.3K and ranks #2 of 239 providers (100th percentile; extreme outlier), and J1569 (immune globulin) contributed $355.3K (90th percentile; typical, unremarkable). These entries show the practice not only delivers primary oncology agents but also substantial supportive therapies used in cancer care.

    There are notable high-volume, low-unit-payment patterns that warrant attention in utilization review: J1439 (ferric carboxymaltose) appears with 249.8K claims at $1 avg paid/claim for $249.8K total revenue and is labeled an extreme outlier. This combination of very large claim counts with low per-claim payment suggests frequent, low-dollar billing activity for that code relative to peers and should be interpreted as an operational pattern rather than an allegation of impropriety.

    Tenure and scale reinforce an established oncology specialty: the NPI was enumerated on 2006-08-09 (~20 years ago), and the provider has accumulated $9.8M in Medicare revenue over their lifetime. Long enrollment combined with concentrated, high-dollar oncology and infusion billing is consistent with a mature, specialized practice that has built significant Medicare-volume in its service lines.

    Across a broad set of oncology drugs and administration codes this provider frequently ranks in high percentiles: examples include J9144 (#26 of 615; 96th percentile; notably above typical national volume), J9022 (#2 of 39; 97th percentile; notably above typical national volume), and multiple administration codes listed as extreme outliers. Taken together, the rank and percentile pattern indicates this clinician is a major national outlier for the delivery of specific cancer biologics and infusion services rather than a modest regional participant.

    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.

    76 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg84,510$40$3.6M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj25,920$40$985K
    J9022Injection, atezolizumab, 10 mg13,610$60$870.9K
    J0897Injection, denosumab, 1 mg45,000$20$810K
    J9299Injection, nivolumab, 1 mg26,100$20$626.4K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg10,150$40$355.3K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg3,380$90$311.3K
    J9264Injection, paclitaxel protein-bound particles, 1 mg29,800$10$298K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg12,590$20$289.6K
    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…2,460$100$251K

    Showing 1–10 of 76

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 76 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    76 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271114013,100$40$653.5K
    J914494013,860$40$631.4K
    J90221108,900$60$568.7K
    J9299134021,000$20$538.5K
    J926441024,150$10$350.2K
    J156910404,560$40$303.5K
    Q51181105,810$20$122.5K
    J089731,0303,060$20$91.4K
    Q5122110550$90$72.5K
    Q51194301,940$20$66.6K

    Showing 1–10 of 76

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amy LawCAHematology & Oncology Physician$4M$0
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Philip DreisbachCAHematology & Oncology Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eisenhower Medical CenterCAGeneral Acute Care Hospital$0$98M
    Tobias Moeller-bertram Md CorporationCAPain Medicine (Anesthesiology) Physician$0$49.2M
    Tobias Moeller-bertram, Md Corporation Desert Clinic Pain InstituteCAPain Medicine Physician$0$47.2M
    Empire Vein & Vascular SpecialistsCAVascular Surgery Physician$0$32M
    Mirage Endoscopy Center, L.P.CAAmbulatory Surgical Clinic/Center$1.6M$1M
    Camille HarrisonCAOphthalmology Physician$2.4M$0
    Timothy JochenCAProcedural Dermatology Physician$2.3M$0
    Rupinder MannCAGeriatric Medicine (Internal Medicine) Physician$1M$831K
    Pushpinder SiviaCAVascular Surgery Physician$1.9M$0
    Josephine NguyenCADiagnostic Radiology Physician$1.5M$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. California Distribution
    Luke Dreisbach — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California