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    OpenPayerNPI Medicare & MedicaidAndrew Iliff
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    Andrew Iliff — Billing Profile & Reimbursement Data

    NPI 1851654818 · Columbia, MO · Hematology & Oncology Physician

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    Andrew Iliff is a hematology & oncology physician provider located in Columbia, Missouri. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Iliff
    Address1705 E Broadway Ste 100
    CityColumbia
    StateMO
    ZIP65201
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 24, 2012

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is concentrated and material: lifetime Medicare revenue is $2.8M and there is no Medicaid billing on file, so the practice is effectively single‑payer from a public-program perspective and relies on Medicare for its publicly reported volume and revenue. The absence of Medicaid activity may affect access to dual‑eligible or low‑income populations and suggests limited engagement with state Medicaid programs.

    Revenue is heavily concentrated in a small set of high-cost oncology drugs: the top 3 Medicare codes (J9271, J9299, J9144) together account for 56.5% of the provider’s total Medicare revenue. Individually, J9271 contributes 30.9% of Medicare revenue, J9299 contributes 13.5%, and J9144 contributes 12.0%, indicating that immunotherapy and targeted oncology injectables drive the majority of billed Medicare dollars.

    The clinical and operational profile implied by the code mix is a medical oncology practice with on-site infusion capabilities: high revenue from J9271 (pembrolizumab), J9299 (nivolumab), and J9144 (daratumumab), combined with chemotherapy administration codes such as 96413 and supportive drugs like J2506 and J1568, point to routine in‑office infusion of biologics and systemic cancer therapies. This mix suggests the practice treats both solid tumors (checkpoint inhibitors) and hematologic disease (daratumumab), and manages infusion logistics and drug acquisition.

    Competitive standing across top oncology drugs is generally modest rather than dominant. For J9271 the provider ranks #439 of 1841 (76th percentile; typical, unremarkable volume), for J9299 it ranks #244 of 505 (52th percentile; typical, unremarkable volume), and for J9144 it ranks #290 of 615 (52th percentile; typical, unremarkable volume), which together indicate middle‑tier national activity for these agents rather than leadership.

    There are notable relative strengths and weaknesses in specific codes that inform competitive posture: the provider’s J0881 activity (41.7K claims, $83.3K revenue) ranks #102 of 1114 (91th percentile; typical, unremarkable volume), signaling comparatively high participation with darbepoetin alfa, whereas J9173 (durvalumab) ranks #45 of 53 (15th percentile; typical, unremarkable volume), indicating limited use of that agent. These differences suggest selective prescribing patterns or patient-mix effects across different oncology and supportive care drugs.

    Office visit volume for established patients is an outlier versus national peers: code 99214 has 1.3K claims and $115.5K revenue (4.3% of Medicare revenue) and ranks #5897 of 479517 (99th percentile; extreme outlier, far above typical national volume for this code). This extreme standing for 99214 implies a high intensity of outpatient management and follow‑up in Medicare beneficiaries relative to most providers, which may reflect ongoing chronic oncology care, frequent follow‑up visits, or coding intensity patterns.

    The presence of imaging and multiple infusion administration codes supports an integrated outpatient oncology operation: 78815 (PET/CT) generates $78.3K (2.9% of Medicare revenue) and ranks #2637 of 6566 (59th percentile; typical, unremarkable volume), while chemotherapy administration codes such as 96413 (532 claims, $48.4K) and additional infusion codes (96365, 96367) appear on the revenue list. Together these items indicate that the practice bills for diagnostic imaging and delivers infusions in the outpatient setting rather than solely providing consultative services.

    The provider has an established billing history with long tenure: the NPI was enumerated 2012-06-24 (~14 years ago), which combined with lifetime Medicare revenue of $2.8M suggests a steady, mid‑sized Medicare oncology practice over time. Given the lack of Medicaid billing on file, growth or risk strategies that rely on expanding Medicaid-covered volume would require new payer relationships or affiliation changes.

    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 mg19,200$40$825.6K
    J9299Injection, nivolumab, 1 mg15,020$20$360.5K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj8,460$40$321.5K
    J0897Injection, denosumab, 1 mg12,720$20$241.7K
    J9173Injection, durvalumab, 10 mg2,400$60$148.8K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg4,010$30$136.3K
    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…1,280$90$115.5K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)41,670$1$83.3K
    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.…80$1,030$78.3K
    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…530$90$48.4K

    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
    J92718409,100$40$502K
    J929992014,170$20$360.3K
    J91449207,200$40$308.4K
    J91733103,820$60$215.9K
    J15681102,900$30$103.8K
    J0897152102,400$20$82.4K
    J088151015,500$1$63.1K
    J14375102,500$20$43.5K
    Q51163101,840$20$36.9K
    J064121035,150$1$27.3K

    Showing 1–10 of 69

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liana MakarianMOHematology & Oncology Physician$3.3M$0
    Umasankar RamadossMOHematology & Oncology Physician$3.3M$0
    Mark TungesvikMOHematology & Oncology Physician$3.3M$0
    Elangovan BalakrishnanMOHematology & Oncology Physician$3.1M$0
    Mudappa KalaiahIARheumatology Physician$652.3K$0
    Mark BryerMORadiation Oncology Physician$638K$0
    Aneley HundaeFLCardiovascular Disease Physician$604.9K$0
    Reed CopeMORadiation Oncology Physician$572.2K$0
    Alexandre TungesvikMOHematology & Oncology Physician$569.8K$0
    Harold JohnsonMORadiation Oncology Physician$542.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    WoodhavenMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$88.3M
    Palmer's Home Care, LLCMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$82.3M
    Oats, Inc.MONon-emergency Medical Transport (VAN)$0$23.4M
    Independent Living Center Of Mid-missouri Inc.MOSpecialist$0$14.2M
    Ch Allied Services, Inc.MOGeneral Acute Care Hospital$0$8.6M
    Central Missouri Area Agency On AgingMOVoluntary or Charitable Agency$0$8.4M
    Life Christain OutreachMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.1M
    Surgical Center At Columbia Orthopaedic Group LLCMOAmbulatory Surgical Clinic/Center$6.2M$0
    Mid-missouri Supported LivingMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$5.3M
    Woodhaven Learning CenterMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$5.1M

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