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    OpenPayerNPI Medicare & MedicaidRobert Muldoon
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    Robert Muldoon — Billing Profile & Reimbursement Data

    NPI 1841277589 · Hot Springs, AR · Hematology & Oncology Physician

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    Robert Muldoon is a hematology & oncology physician provider located in Hot Springs, Arkansas. 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
    OrganizationRobert Muldoon
    Address133 Harmony Park
    CityHot Springs
    StateAR
    ZIP71913
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedDecember 23, 2005

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

    Payer SourceTotal Paid
    Medicare$3.2M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the dataset: reported lifetime Medicare revenue of $3.2M and no Medicaid billing on file (“none below”), which indicates the practice’s publicly reported activity is concentrated in Medicare rather than a mixed Medicare/Medicaid payer mix. Absence of Medicaid claims should be considered when comparing patient access or coverage patterns against in‑state peers.

    Revenue is highly concentrated in a small number of high-cost oncology items: the precomputed top‑3 Medicare codes account for 67.8% of the provider’s total Medicare revenue, with J9271 ($1.1M, 35.2%), J9299 ($781K, 25.5%), and 78815 ($214.9K, 7.0%) together driving the majority of receipts. That concentration signals dependence on a handful of expensive systemic therapies and imaging procedures for overall revenue.

    Code mix aligns with an oncology infusion and diagnostic practice: Hematology & Oncology taxonomy plus large volumes and revenues for checkpoint inhibitors (J9271, J9299), PET/CT imaging (78815) and a diagnostic radiopharmaceutical (A9595, $195.6K). The presence of M0010 (EOM monthly enhanced oncology services) further supports that this provider bills for ongoing oncology care management and enhanced oncology model services rather than only episodic procedures.

    Competitive standing for the top oncology drug codes is solid but not dominant: J9271 ranks #227 of 1841 providers nationally (88th percentile; typical, unremarkable volume) and J9299 ranks #58 of 505 providers nationally (89th percentile; typical, unremarkable volume). Those percentiles indicate the practice sits above median national activity for these expensive agents but is still described in the data as typical relative to high‑volume specialist peers.

    Office evaluation-and-management and administration activity are high relative to national peers: 99213 is an extreme outlier (rank #4161 of 457151, 99th percentile; extreme outlier, far above typical national volume) and 99214 ranks in the 97th percentile (notably above typical national volume), while 96372 also appears as an extreme outlier (99th percentile). This pattern suggests heavy throughput of clinic visits and frequent administration/injection services consistent with an active infusion practice.

    Several supportive care and specialty drug codes are reported at above‑typical or typical levels: J0885 epoetin alfa ranks #74 of 953 providers (92th percentile; notably above typical national volume) and 96413 (chemotherapy administration) is in the 96th percentile (notably above typical national volume), whereas A9595 (piflufolastat f-18) is in the 66th percentile (typical, unremarkable volume). These placements indicate consistent provision of both chemotherapy and adjunctive/supportive agents alongside advanced diagnostic testing.

    There is a mixed picture across biosimilars and newer agents: Q5119 (rituximab biosimilar) and J1442 (filgrastim) are present at typical volumes for their peer groups (Q5119 at 66th percentile; J1442 ranks among a small set of providers), while Q5122 (pegfilgrastim biosimilar, 6th percentile; typical, unremarkable volume) shows relatively low national standing. This suggests selective use of biosimilars and variability in adoption or billing volume for specific supportive biologics.

    The provider has long tenure in the dataset, with the NPI enumerated on 2005-12-23 (~21 years ago), indicating an established practice history. Combined with the code mix (high‑cost immunotherapies, PET imaging, oncology E/M billing and infusion administration), the tenure supports interpretation of observed patterns as an experienced hematology/oncology practice rather than a new entrant with transient billing spikes.

    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 mg25,100$40$1.1M
    J9299Injection, nivolumab, 1 mg32,540$20$781K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…220$1,000$214.9K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie320$620$195.6K
    J0897Injection, denosumab, 1 mg8,700$20$165.3K
    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…920$90$81K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units12,320$10$73.9K
    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…1,190$60$68.8K
    J1437Injection, ferric derisomaltose, 10 mg3,800$20$60.8K
    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…700$90$60.7K

    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
    J9271134020,700$40$896.3K
    J929933015,660$20$432.9K
    J143717206,450$20$107.8K
    A9595110110$570$90.9K
    J0897301602,580$20$89.7K
    788152610090$550$83.7K
    Q51192103,280$20$73.2K
    J08858404,070$10$38K
    964131980380$90$36.6K
    A95521840180$150$28.9K

    Showing 1–10 of 70

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    American Oncology Partners PAOHHematology & Oncology Physician$0$11.8M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    David SmithMDHematology & Oncology Physician$6.4M$0
    Stephen DiversARHematology & Oncology Physician$3.9M$1.5K
    Bradley SumrallGAMedical Oncology Physician$3.1M$0
    Linda HendricksGASpecialist$3.1M$0
    Sue TsudaARMedical Oncology Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rock Dental Arkansas PLLCARDentist$0$128.8M
    Superior Senior CareARIn Home Supportive Care Agency$0$22.5M
    Ouachita Regional Counseling & Mental Health Center, Inc.ARMental Health Clinic/Center (Including Community Mental Health Center)$0$22.4M
    Chi St Vincent Hospital Hot SpringsARGeneral Acute Care Hospital$0$16.4M
    Chi St. Vincent Medical Group Hot SpringsARSpecialist$0$13.8M
    Tlc Home Care Of ArkansasARIn Home Supportive Care Agency$0$7M
    Little Bitty City Therapeutic Services LLCARDevelopmental Disabilities Clinic/Center$0$6.9M
    Healthy Connections IncorporatedARFederally Qualified Health Center (FQHC)$0$5.5M
    Abilities Unlimited Of Hot Springs Ar IncARDevelopmentally Disabled Services Day Training Agency$0$4.9M
    A-o-m-s, PLLCAROral and Maxillofacial Surgery (Dentist)$0$4.2M

    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. Arkansas Distribution
    Robert Muldoon — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas