Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnthony Cmelak
    Ask Trek AI about this page

    Anthony Cmelak — Billing Profile & Reimbursement Data

    NPI 1912099334 · Nashville, TN · Radiation Oncology Physician

    Customize your policy alerts

    Sign up for Anthony Cmelak — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Anthony Cmelak is a radiation oncology physician provider located in Nashville, Tennessee. This profile covers 23 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnthony Cmelak
    Address3601 The Vanderbilt Clinic
    CityNashville
    StateTN
    ZIP37232
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedSeptember 30, 2006

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

    Payer SourceTotal Paid
    Medicare$391.9K
    Medicaid$0

    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.

    23 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 session550$260$142K
    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…50$780$39K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy760$40$33.4K
    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…200$140$29.4K
    G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev120$170$20.9K
    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…60$250$14.4K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…460$30$14.3K
    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…100$130$12.8K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.210$60$12.4K
    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…80$150$12K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60151120530$260$171K
    770148380710$50$40.3K
    7742748100200$140$33.9K
    G6013910200$170$33.4K
    77301368040$600$30.1K
    77280608040$160$25.5K
    992147,16711,370120$80$16.6K
    773361930220$60$15.2K
    G60021160240$30$12.6K
    77338298050$200$10.6K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vanderbilt University Medical CenterTNInternal Medicine Physician$0$189.5M
    Vanderbilt University Medical CenterTNGeneral Acute Care Hospital$0$137.7M
    Vanderbilt University Medical CenterTNMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Cookeville Regional Medical CenterTNGeneral Acute Care Hospital$0$17.1M
    Vanderbilt University Medical CenterTNGeneral Acute Care Hospital$0$8M
    Antonia KolokythasTNOral and Maxillofacial Surgery (Dentist)$0$5.9M
    Vanderbilt Integrated Providers, LLCTNFamily Medicine Physician$0$4.3M
    The Cookeville Surgery CenterTNAmbulatory Surgical Clinic/Center$24.7K$1.6M
    Joseph JonesALHematology & Oncology Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Han-chih ChangTNRadiation Oncology Physician$2.6M$0
    Emily CarpenterTNNurse Practitioner$747.9K$0
    Kenneth NiermannTNRadiation Oncology Physician$625.8K$0
    Stephen KimTNOphthalmology Physician$608.9K$0
    Corbin JohnsonTNRadiation Oncology Physician$577.1K$0
    Avni FinnTNOphthalmology Physician$504.5K$0
    Dinesh GuptaTNCardiovascular Disease Physician$397.9K$80.2K
    Dong KimTNRadiation Oncology Physician$469.4K$0
    Ryszard DworskiTNAllergy & Immunology Physician$376.5K$2.4K
    Nathan PodollTNOphthalmology Physician$363.9K$0

    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. Tennessee Distribution
    Anthony Cmelak — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee