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    OpenPayerNPI Medicare & MedicaidDonald Joyce
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    Donald Joyce — Billing Profile & Reimbursement Data

    NPI 1871596833 · Providence, RI · Radiation Oncology Physician

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    Donald Joyce is a radiation oncology physician provider located in Providence, Rhode Island. This profile covers 16 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
    OrganizationDonald Joyce
    Address825 N Main St
    CityProvidence
    StateRI
    ZIP02904
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMay 24, 2005

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

    Payer SourceTotal Paid
    Medicare$411.3K
    Medicaid$0

    Key Findings

    This provider’s billed Medicare volume is concentrated in high-complexity radiation delivery: G6015, G6012, and 77014 together drive the practice’s revenue footprint, and the precomputed top-3 share is 71.3% of total Medicare revenue. G6015 alone accounts for $181.2K (44.0% of Medicare revenue) and G6012 contributes $44.5K (10.8%), while 77014 contributes $67.6K (16.4%), indicating a business model centered on treatment delivery rather than procedure-free consults.

    Service-line mix and clinical focus are consistent with an ambulatory radiation oncology practice delivering IMRT and other beam-based therapies: the prominence of G6015 (intensity modulated treatment delivery), G6012 (complex multi-area radiation treatment delivery), and 77301/77338/77336 (IMRT planning and physics support) point to ongoing external-beam therapy operations with medical physics involvement. E/M codes (e.g., 99213 at $9.9K and 99205 at $6.9K) are present but represent a small portion of revenue, reinforcing that hands-on therapy delivery—rather than office-based evaluation—is the primary revenue driver.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $411.3K and there is no Medicaid billing on file (none), so this provider operates without an identifiable Medicaid revenue stream in the available data. That concentration means local Medicaid managed-care or state program exposure is negligible or absent in these records, which may affect payer-negotiation leverage and network participation considerations.

    Competitive standing for the top delivery codes is modest at the national level rather than dominant. G6015 ranks #644 of 1429 providers (55th percentile; typical, unremarkable volume), G6012 ranks #357 of 868 (59th percentile; typical, unremarkable volume), and 77014 ranks #1243 of 4303 (71th percentile; typical, unremarkable volume), signaling above-median but not leading national volume for these revenue-driving services.

    There are a few low-national-volume signals within the procedure mix that suggest limited use of some preparatory/simulation codes: 77280 ranks #3263 of 3348 (1th percentile; typical, unremarkable volume) and 77290 ranks #3396 of 3650 (4th percentile; typical, unremarkable volume), indicating these specific simulation/specialty planning services are rarely billed relative to national peers. Conversely, G6015 and 77014 sit at or above median national percentiles, so the practice focuses its volume on delivery codes while some ancillary planning codes are used infrequently.

    Clinical and revenue sequencing shows dependence on a small number of high-value sessions: 77301 (IMRT planning) and 77338 (MLC design/IMRT device work) each contribute $28.8K and $7.2K respectively, but 77301’s national rank is relatively low (#3117 of 3815, 16th percentile; typical, unremarkable volume), suggesting the provider bills meaningful revenue for IMRT treatments without matching national-level volume in IMRT planning code utilization. This pattern could reflect a focused clinical niche or local practice patterns in how planning services are coded.

    Tenure in the Medicare program is long-standing: the NPI was enumerated on 2005-05-24 (~21 years ago), indicating more than two decades of possible practice activity and an established presence in the payer ecosystem. That longevity supports stability in billing relationships and an operational history consistent with the observed treatment-focused service mix.

    Across lower-revenue codes the provider’s profile is consistent with a modest-volume specialist rather than a high-volume radiation center: many secondary codes show ‘‘typical, unremarkable volume’’ percentile labels (for example, 77336 at the 50th percentile and 99213 at the 71th percentile), and no code shows an extreme outlier status. Taken together with the $411.3K lifetime Medicare total, this pattern portrays a radiation oncology physician whose Medicare activity is concentrated, treatment-centric, and nationally modest in scale rather than regionally or nationally dominant.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session610$300$181.2K
    77014N/A740$90$67.6K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev230$200$44.5K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…190$160$28.8K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…20$1,520$28.8K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…180$70$12.6K
    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…150$70$9.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…20$380$7.2K
    99205The provider sees a new 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 provider…40$170$6.9K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…10$370$4.9K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015310300$290$125.9K
    77014310410$80$39.6K
    7730191030$990$29.7K
    77427420150$160$21.3K
    G601211090$190$20.3K
    77338101030$280$9.6K
    7733641090$70$7.9K
    77334132090$70$7.7K
    992134821,95070$60$7.4K
    773001520140$40$6.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Signature Healthcare Medical Group IncMAInternal Medicine Physician$0$33.4M
    Edward MedeirosRINephrology Physician$87.2K$6.8M
    Richard LimRIInternal Medicine Physician$52.2K$3.4M
    Robert GianfroccoRIEmergency Medicine Physician$14.7K$633.9K
    Katherine WilliamsRIFamily Medicine Physician$0$564.8K
    Mohamad El-zaruMACardiovascular Disease Physician$543.5K$0
    Brown Urology, Inc.RIUrology Physician$0$432.4K
    Roy BryanCADiagnostic Radiology Physician$417.1K$90
    Alexandra HarnoisRIFamily Nurse Practitioner$16K$398.2K
    Nicklas OldenburgRIRadiation Oncology Physician$399.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Providence Center IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$170.9M
    Re-focus Inc.RIDevelopmentally Disabled Services Day Training Agency$0$102.5M
    Hopehealth Hospice & Palliative CareRICommunity Based Hospice Care Agency$0$33.3M
    Mas Medical StaffingRIHome Health Agency$0$24.5M
    Generations Adult Day Health CenterRIAdult Day Care Clinic/Center$0$16.3M
    Prospect Chartercare Sjhsri, LLCRIGeneral Acute Care Hospital$0$10.9M
    Global Homecare And Staffing IncRIHome Health Agency$0$8.3M
    Emergency Care Services Of New England PCRIEmergency Medicine Physician$0$6.9M
    State Of Rhode IslandRIClinical Medical Laboratory$570$6.4M
    The Providence CenterRICommunity/Behavioral Health Agency$0$5.9M

    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. Rhode Island Distribution
    Donald Joyce — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island