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    OpenPayerNPI Medicare & MedicaidBonny Moore
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    Bonny Moore — Billing Profile & Reimbursement Data

    NPI 1902048051 · Fredericksburg, VA · Hematology & Oncology Physician

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    Bonny Moore is a hematology & oncology physician provider located in Fredericksburg, Virginia. This profile covers 87 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
    OrganizationBonny Moore
    Address4501 Empire Ct
    CityFredericksburg
    StateVA
    ZIP22408
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 2, 2009

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider is a hematology & oncology physician in FREDERICKSBURG, VA with an NPI enumerated on 2009-04-02 (~17 years ago), indicating long-standing Medicare participation and sustained presence in oncology care delivery at the practice level. The tenure suggests established referral relationships and continuity of care for complex cancer patients.

    Lifetime Medicare revenue is listed as $2.7M while there is no Medicaid billing on file; the provider’s book of business is effectively single-payer (Medicare) in the available data, so Medicaid does not meaningfully factor into payer-mix or state-level competitive analysis for this NPI.

    Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 50.4% of this provider’s total Medicare revenue, indicating the practice depends heavily on a small number of high-cost oncology drug administrations and related services for its Medicare income. This level of concentration suggests a focused oncology infusion practice rather than a broad primary-care panel.

    The single largest Medicare revenue driver is J9271 (pembrolizumab) at $722.4K, which alone represents 28.2% of total Medicare revenue; paired with J9144 (daratumumab) at $294.1K and J9299 (nivolumab) at $273.6K, the top three are biologic/immunotherapy infusions and together make up the precomputed 50.4% share. This code mix points to a service line centered on high-cost monoclonal antibody and immunotherapy administration.

    Competitive standing varies by code: for J9271 the provider ranks #568 of 1841 (69th percentile), a fairly typical national volume for that immunotherapy; J9144 ranks #320 of 615 (46th percentile) and J9299 ranks #314 of 505 (38th percentile), both indicating modest-to-typical participation nationally rather than market dominance in those agents. In contrast, for some supportive or adjunctive products the provider appears unusually active.

    Several codes are statistical outliers on the high side: J0897 (denosumab) ranks in the 94th percentile nationally and J1439 (ferric carboxymaltose) ranks in the 96th percentile, both described as notably above typical national volume — this suggests the provider administers more bone-targeted therapy and IV iron than most peers, which may reflect the specific oncology subpopulations treated (e.g., bone metastases, chemotherapy-associated iron deficiency).

    Procedure-level billing shows that routine oncology practice workflows are present: E/M office visit codes 99214 and 99215 together contribute meaningful revenue ($102.1K and $43.6K respectively) with 99214 noted as an extreme outlier (98th percentile) for volume, implying a high number of established outpatient evaluations in addition to infusion care. This mix supports an integrated clinic model that combines consultations/management with in-office infusions.

    Infusion and chemotherapy administration codes (96413, 96365, 96367) and supportive drug codes (J2506 pegfilgrastim, Q5119 rituximab biosimilar, Q5114 trastuzumab biosimilar) appear throughout the top revenue list at typical-to-high percentiles, reinforcing that the practice workload is dominated by in-office infusion services and oncology supportive care rather than diagnostic-only activity. These patterns are consistent with a community oncology infusion center model.

    Given the lack of Medicaid activity and the Medicare-focused revenue profile, payer negotiations or network strategy should treat this NPI as heavily Medicare-dependent; any expansion into Medicaid-managed-care populations would represent a material change from the current documented billing footprint and should be evaluated separately from these Medicare-derived signals.

    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.

    87 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg16,800$40$722.4K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj7,740$40$294.1K
    J9299Injection, nivolumab, 1 mg11,400$20$273.6K
    J0897Injection, denosumab, 1 mg14,100$20$253.8K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg6,600$40$237.6K
    J1930Injection, lanreotide, 1 mg3,840$40$165.1K
    J1439Injection, ferric carboxymaltose, 1 mg107,250$1$107.3K
    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…1,110$90$102.1K
    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…490$100$48.4K
    Q5114Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg1,450$30$46.5K

    Showing 1–10 of 87

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 87 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    87 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92712911012,800$40$610.9K
    J9299173012,920$20$335.4K
    J914430608,280$40$332.7K
    J19304103,840$40$188.7K
    J15693303,000$40$135.7K
    J0897173402,820$20$89.3K
    Q511914401,570$20$39.6K
    Q51141101,160$30$37.4K
    881851260620$20$34.3K
    Q51222140270$90$32.5K

    Showing 1–10 of 87

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bonny Moore, 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
    Robert MuldoonARHematology & Oncology Physician$3.2M$0
    Bradley SumrallGAMedical Oncology Physician$3.1M$0
    Linda HendricksGASpecialist$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Compass Counseling Services Of Northern VirginiaVACommunity/Behavioral Health Agency$0$54.4M
    Spotsylvania Medical Center IncVAGeneral Acute Care Hospital$0$31M
    Pinnacle Treatment Centers Va-i, LLCVAMethadone Clinic$152.9K$15.6M
    Assured CorporationVAHome Health Agency$0$12.8M
    Lakshminarayanan NandagopalVAHematology & Oncology Physician$2.9M$0
    Charles MaurerVAHematology & Oncology Physician$2.8M$0
    Matthew WhitehurstVAMedical Oncology Physician$2.1M$0
    Sudeep MenacheryVAHematology & Oncology Physician$1.9M$0
    Arijit ChandaVAInterventional Cardiology Physician$571.6K$0
    Anh VuVACardiovascular Disease Physician$549.9K$90

    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. Virginia Distribution
    Bonny Moore — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia