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    OpenPayerNPI Medicare & MedicaidJohn Coen
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    John Coen — Billing Profile & Reimbursement Data

    NPI 1891720165 · Providence, RI · Radiation Oncology Physician

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    John Coen 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
    OrganizationJohn Coen
    Address50 Maude St
    CityProvidence
    StateRI
    ZIP02908
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$552.3K
    Medicaid$0

    Key Findings

    This provider is effectively a single-payer Medicare practitioner: total Medicare revenue is $552.3K and there is no Medicaid billing on file, so Medicaid does not contribute to this provider's revenue base. That payer mix implies the practice’s financial footprint and referral patterns are concentrated in Medicare beneficiaries rather than dual-eligible or Medicaid populations.

    Revenue is highly concentrated in a small number of treatment codes: the top 3 Medicare codes by revenue account for 74.3% of this provider's total Medicare revenue, with a single code, G6015, representing 47.2% ($260.8K) of Medicare revenue alone. This level of concentration indicates business risk if volumes or reimbursement for those delivery codes change.

    The code mix identifies a focused Radiation Oncology operation centered on IMRT and external beam radiation delivery: G6015 (Intensity modulated treatment delivery) and 77301 (IMRT planning) together drive the majority of billed revenue, and auxiliary codes such as 77336 (medical physics consultation), 77338 (MLC/IMRT device construction), and 77300 (dosimetry) show that the practice bills for planning, physics oversight, and device customization in addition to per‑session delivery. That pattern is consistent with a clinic that provides both technical delivery and associated planning/physics services for complex radiotherapy.

    Operational throughput appears steady for delivery-level services: G6015 shows 875 claims and 77014 shows 957 claims, indicating frequent treatment sessions and routine use of delivery/simulation services in daily operations. By contrast, planning/physics and simulation codes (for example, 77336 at $16.1K and 77338 at $13.7K) contribute smaller revenue shares, suggesting planning is billed but is not the main revenue driver.

    Competitive standing across national peers is modest rather than dominant: G6015 ranks #428 of 1429 providers nationally (70th percentile), 77014 ranks #803 of 4303 providers (81th percentile), and 77301 ranks #1877 of 3815 providers (49th percentile), so the provider sits in mid-to-upper peer percentiles for key delivery codes but is not a top outlier or national leader. These percentile positions are characterized in the data as typical, unremarkable volumes for these codes.

    Code-level statistical comparisons show no flagged outliers; the file describes most reported codes as "typical, unremarkable volume" in peer comparisons. While some simulation/planning codes occupy lower percentile positions (for example, 77295 is reported at the 0th percentile and 77280/77290 appear in the low teens), the overall characterization provided is that volumes are within typical ranges rather than notably above or below peers.

    Tenure supports established practice experience: the NPI was enumerated 2006-07-12 (~20 years ago), indicating long-standing enrollment in Medicare which can correlate with stable referral relationships and established billing processes. This tenure combined with the revenue mix suggests an experienced radiation oncology practice maintaining routine IMRT delivery.

    From a business perspective, the absence of Medicaid billing and the heavy reliance on a few Medicare delivery codes points to limited payer diversification; the practice’s competitive position is that of a steady, mid‑sized Medicare-focused radiotherapy provider that bills routinely for IMRT delivery and associated planning/physics rather than a high-volume national center or a multi‑payer clinic serving Medicaid populations.

    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 session880$300$260.8K
    77014N/A960$100$94.7K
    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…40$1,520$54.6K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev220$190$40.7K
    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…170$150$26.2K
    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…230$70$16.1K
    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…40$380$13.7K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.80$90$7.3K
    99204The provider sees a new 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 provider…60$130$7.3K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…50$130$6.9K

    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
    G6015210300$290$125.9K
    77014210410$80$39.6K
    7730141030$990$29.7K
    77427720150$160$21.3K
    G601221090$190$20.3K
    7733841030$280$9.6K
    7733621090$70$7.9K
    77334102090$70$7.7K
    992131,8681,95070$60$7.4K
    773001120140$40$6.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    Yusef Haj-darwishMAEmergency Medicine Physician$744K$5M
    Andrew LipmanFLMedical Oncology Physician$5.6M$0
    David RabadyNYRetina Specialist (Ophthalmology) Physician$3.8M$1.1M
    Babak Jian SeyedahmadiMAOphthalmology Physician$4.4M$0
    Richard LimRIInternal Medicine Physician$52.2K$3.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Caring Experience Nursing Services, Inc.RIHome Health Agency$0$78.5M
    Prospect Chartercare Rwmc, LLCRIGeneral Acute Care Hospital$0$57.1M
    Caregiver Homes Of Rhode Island Inc.RICase Management Agency$0$43.4M
    Roger Williams Medical CenterRISurgical Oncology Physician$0$5.4M
    John RicciRIDentist$0$4.3M
    Meals On Wheels Of Ri, Inc.RICase Manager/Care Coordinator$0$4.1M
    Professional Ambulance LLCRIAmbulance$1.7M$1.4M
    University Pathologists, LLCRIAnatomic Pathology Physician$0$2.9M
    Prospect Chartercare Rwmc, LLCRIInternal Medicine Physician$0$2.4M
    Antonio BarajasRIEmergency Medical Services (Emergency Medicine) Physician$0$2.1M

    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. Rhode Island Distribution
    John Coen — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island