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    OpenPayerNPI Medicare & MedicaidChiara Battelli
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    Chiara Battelli — Billing Profile & Reimbursement Data

    NPI 1831398551 · Westbrook, ME · Hematology & Oncology Physician

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    Chiara Battelli is a hematology & oncology physician provider located in Westbrook, Maine. This profile covers 43 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
    OrganizationChiara Battelli
    Address11 Rock Row Ste 320
    CityWestbrook
    StateME
    ZIP04092
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 12, 2007

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

    Payer SourceTotal Paid
    Medicare$301K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is concentrated in oncology infusion and supportive injection services: the top three Medicare codes (J0897, 99214, 96413) together account for 51.9% of total Medicare revenue, and the individual leading codes include J0897 (denosumab injection) at $73.4K and 96413 (chemotherapy infusion) at $24.9K, indicating active management of cancer patients and bone-health support in an outpatient infusion setting. Office E/M codes 99214 and 99215 also contribute meaningfully ($54.4K and $22.5K respectively), which underscores a blended model of infusion-based treatment plus ongoing clinic-based evaluation.

    Revenue concentration is high: precomputed figures show the top three Medicare codes represent 51.9% of the provider’s Medicare revenue, with J0897 alone accounting for 25.0% of Medicare revenue ($73.4K). That concentration signals dependence on a small set of oncology-related drugs and E/M visits to drive the practice’s Medicare receipts, which could make revenue sensitive to changes in drug utilization or reimbursement for those specific codes.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $301K while there is no Medicaid billing on file. The absence of Medicaid activity suggests this provider’s public-payer exposure is concentrated in Medicare and that any analysis of payer strategy or risk should treat this provider as operating without a Medicaid revenue stream.

    Competitive standing is mixed by code: for commonly used codes the provider often sits near or above typical national volumes — 99214 ranks in the 93th percentile nationally (598 claims) and 80053 ranks in the 93th percentile (891 claims) — while some chemotherapy and specialty drug codes are closer to typical or modest volumes (J0897 at the 65th percentile, 96413 at the 69th percentile). Conversely, certain chemotherapy-administration codes show unusually high relative volume: 96402 ranks in the 96th percentile and is flagged as "notably above typical national volume," indicating stronger-than-typical performance for subcutaneous/intramuscular hormonal antineoplastic administration.

    Several drug-specific patterns stand out: high-volume low-paid injections appear in the mix (J1439 ferric carboxymaltose shows 14.3K claims but only $14.3K revenue and sits at the 12th percentile), while higher-priced oncology drugs like J1454 (fosnetupitant/palonosetron) and fulvestrant entries (J9395/J9393) contribute disproportionally by revenue even with fewer claims. This combination suggests the practice bills both frequently for low-unit-value infusion/support services and intermittently for higher-cost antiemetic and antineoplastic agents.

    National comparator pool size and percentiles point to some narrow-market effects: J9393 is reported as ranking #3 of 4 providers nationally and is in the 33th percentile, indicating the national comparator set for that code is very small and percentile interpretations should be tempered by limited sample size. Similarly, several administration add-on and post-infusion codes (96417 at the 28th percentile, 96367 at the 26th percentile) fall below median national volumes, highlighting variability across specific chemotherapy-related services.

    Operational implications for service line planning: the presence of frequent E/M visits (99214/99215) alongside core infusion codes (96413, 96365) implies an integrated clinic workflow where office-based management and on-site infusion are both revenue drivers. The provider’s revenue mix—high share from a small set of oncology codes plus substantial lab/CMP and CBC volumes (80053, 85025)—is consistent with a hematology/oncology outpatient practice that combines infusion treatment, routine monitoring labs, and symptom-management drug administration.

    Tenure and stability: the NPI was enumerated on 2007-07-12 (~19 years ago), indicating long-standing Medicare enrollment which may reflect stable licensure and a sustained presence in the market; however, total lifetime Medicare revenue of $301K indicates a modest overall billing footprint relative to many national peers and suggests this is not a high-revenue outlier provider at the enterprise level.

    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg4,080$20$73.4K
    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…600$90$54.4K
    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…250$100$24.9K
    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…170$130$22.5K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg60$360$20.4K
    J9395Injection, fulvestrant, 25 mg1,630$10$14.7K
    J1439Injection, ferric carboxymaltose, 1 mg14,250$1$14.3K
    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.890$10$8.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.140$50$6.9K
    J9393Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg450$20$6.8K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08977202,730$20$86.4K
    J1439101024,750$1$32.2K
    J349051070$390$29.1K
    96413930170$100$20.6K
    J145451060$340$18.3K
    J93951101,130$10$9.9K
    99214212,50070$70$7.2K
    J9393110450$20$6.9K
    9636593090$50$5.6K
    992153878030$100$4.8K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy HospitalMEGeneral Acute Care Hospital$0$35.5M
    Can IlyasMEHematology & Oncology Physician$3.2M$0
    David BentonMEHematology & Oncology Physician$2.6M$0
    Matthew DuganMEHematology & Oncology Physician$1.8M$0
    John WintersMEHematology & Oncology Physician$1.5M$0
    Maine Center For Cancer Medicine & Blood Disorders, P.A.MEHematology & Oncology Physician$0$1.5M
    Christian ThomasMEHematology & Oncology Physician$1.5M$0
    Devon EvansMEHematology & Oncology Physician$1.5M$0
    Brian HaneyMEHematology & Oncology Physician$1.2M$0
    Yoko FukudaNHHematology & Oncology Physician$945K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative WorksMEDevelopmentally Disabled Services Day Training Agency$0$144.1M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$101.5M
    Safe Residential Care, LLCMEPhysical Disabilities Residential Treatment Facility$0$94.6M
    3rivers, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$78.6M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$46.3M
    Alliance Case ManagementMECase Management Agency$0$17.8M
    Woodfords Family ServicesMEIn Home Supportive Care Agency$0$11.3M
    Woodfords Family ServicesMECase Management Agency$0$9.4M
    Mas Medical Staffing CorporationMEHome Health Agency$0$8.1M
    Maine Community HomecareMEIn Home Supportive Care Agency$0$8.1M

    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. Maine Distribution
    Chiara Battelli — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine