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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBradley Hiatt
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    Bradley Hiatt — Billing Profile & Reimbursement Data

    NPI 1841254406 · Des Moines, IA · Medical Oncology Physician

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    Bradley Hiatt is a medical oncology physician provider located in Des Moines, Iowa. This profile covers 70 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
    OrganizationBradley Hiatt
    Address411 Laurel St Ste A300
    CityDes Moines
    StateIA
    ZIP50314
    TaxonomyMedical Oncology Physician
    NPI EnumeratedApril 12, 2006

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

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the datasets available: lifetime Medicare revenue is $2.2M while there is no Medicaid billing on file, so all billed public-payer activity in the record is Medicare-driven. That concentration means any analysis of patient mix or revenue risk should treat Medicare as the dominant and sole public-payer exposure represented here.

    Revenue is highly concentrated in a few injectable oncology agents: the precomputed top 3 Medicare codes account for 60.4% of total Medicare revenue, driven primarily by J9271 ($739.6K, 33.8%), J9144 ($335.2K, 15.3%), and J9299 ($246.5K, 11.3%). This concentration indicates that a small number of high-cost biologic therapies are the primary revenue drivers for the practice.

    The code mix points to a medical‑oncology infusion center focused on immuno‑oncology and hematologic agents. High-revenue J‑codes such as J9271 (pembrolizumab), J9144 (daratumumab), and J9299 (nivolumab), together with supportive agents like J0897 (denosumab) and J2506 (pegfilgrastim), are consistent with treatment of solid tumors and plasma‑cell malignancies and routine in‑office administration of biologic therapies.

    Competitive standing on the top immunotherapy agents is modest to typical nationally: J9271 ranks #541 of 1841 (70th percentile; typical, unremarkable volume), J9144 ranks #276 of 615 (54th percentile; typical, unremarkable), and J9299 ranks #309 of 505 (39th percentile; typical, unremarkable). Those ranks suggest the provider is not a national leader in any single immunotherapy but is a regular regional participant in these high-cost agents.

    Several non‑drug E/M and infusion administration codes are statistical outliers in terms of volume, indicating above‑typical visit and infusion throughput. Notably, 99214 is an extreme outlier (ranks #6215 of 479517 providers nationally, 99th percentile; extreme outlier, far above typical national volume) and accounts for $113.4K (5.2%) of Medicare revenue, while 99213 ($34.7K, 1.6%) and 99205 ($21.1K, 1.0%) are also listed as notably above typical; this pattern implies substantial office-based clinical contact and documentation intensity tied to infusion care.

    There is evidence of significant in‑office supportive services and high infusion throughput beyond specialty biologics: chemotherapy administration 96413 ($50.9K, 2.3%) ranks #562 of 7514 (92th percentile; notably above typical), add‑on infusion 96367 ($14.5K, 0.7%) ranks in the 95th percentile, and basic lab/support codes such as 80053 ($12.6K) and 85025 ($11.1K) sit at the 96th and 95th percentiles respectively. Together these codes and percentiles support an operational model that combines drug administration with on-site monitoring and lab work rather than a referral‑only model.

    Biosimilar utilization shows mixed but notable adoption in some agents: Q5118 (bevacizumab‑bvzr) contributes $120K (5.5%) and ranks #21 of 161 (88th percentile; typical, unremarkable volume), while Q5126 (bevacizumab‑maly) and Q5115 (rituximab‑abbs) appear in smaller volumes ($88.7K and $73.9K respectively) with lower national percentiles. This suggests selective use of biosimilars in practice inventory and patients, with particularly strong relative utilization of one bevacizumab biosimilar compared with peers.

    The provider has a long tenure in the NPI file (NPI enumerated 2006-04-12, ~20 years ago), which, combined with a $2.2M lifetime Medicare revenue profile and a drug‑heavy code mix, points to a sustained, focused oncology practice serving Medicare beneficiaries over an extended period. Given the single‑payer Medicare exposure and concentrated revenue in a handful of biologics, payers and provider analysts should consider how drug pricing, biosimilar adoption, and shifts in oncology care pathways could materially affect this provider's revenue profile.

    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.

    70 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg17,200$40$739.6K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj8,820$40$335.2K
    J9299Injection, nivolumab, 1 mg11,740$20$246.5K
    J0897Injection, denosumab, 1 mg9,300$20$167.4K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg4,800$30$120K
    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…1,260$90$113.4K
    Q5126Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg1,740$50$88.7K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg2,110$40$73.8K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg680$80$52K
    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$50.9K

    Showing 1–10 of 70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 70 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    70 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271143017,200$40$902.3K
    J929961018,700$20$527.6K
    J91445109,900$40$476.8K
    Q51263103,270$50$146.6K
    Q51183105,840$20$137.4K
    J0897211901,920$20$74.1K
    Q51154101,790$30$71.4K
    J2506420440$80$38.9K
    96413980210$90$24K
    J92173350140$130$23.4K

    Showing 1–10 of 70

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Broadlawns Medical CenterIAGeneral Acute Care Hospital$0$112.9M
    State University Of IowaIAFamily Medicine Physician$0$103.8M
    State University Of IowaIAGeneral Acute Care Hospital$0$90.4M
    State University Of IowaIADentist$0$25.8M
    Broadlawns Medical CenterIACommunity/Behavioral Health Agency$0$13.2M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catholic Health Initiatives-iowa CorpIAGeneral Acute Care Hospital$0$26.4M
    Des Moines Independent Community School DistrictIALocal Education Agency (LEA)$0$22.8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$14.1M
    Mercy Clinics IncIAPediatric Adolescent Medicine Physician$0$10.7M
    Des Moines River Physicians, LLCIAEmergency Medicine Physician$0$8.1M
    Catholic Health Initiatives-iowa CorpIAClinical Medical Laboratory$0$8M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.9M
    Vita Health ServicesIAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$7.5M
    House Of MercyIASubstance Abuse Rehabilitation Facility$0$7.4M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$7.2M

    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
    Bradley Hiatt — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa