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 & MedicaidGina Divenuti
    Ask Trek AI about this page

    Gina Divenuti — Billing Profile & Reimbursement Data

    NPI 1912958703 · Concord, NH · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Gina Divenuti — 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.

    Gina Divenuti is a hematology & oncology physician provider located in Concord, New Hampshire. This profile covers 34 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 / 9

    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
    OrganizationGina Divenuti
    Address250 Pleasant St
    CityConcord
    StateNH
    ZIP03301
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 15, 2006

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    The provider’s Medicare billing profile is dominated by oncology infusion and related outpatient management services, with J9271 (Injection, pembrolizumab) representing the single largest line item at 19.8K claims and $772.2K revenue (75.8% of this provider's total Medicare revenue). Additional chemotherapy administration and infusion codes (96413, 96417, 96411, G0498) also appear on the top-25 list, indicating an operational focus on in-office systemic therapy delivery alongside office visits. This code mix is consistent with the listed taxonomy of Hematology & Oncology Physician and suggests an infusion-centered oncology practice model.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes (J9271, 99214, 99213) account for 88.1% of this provider’s total Medicare revenue. J9271 alone contributes 75.8% of Medicare revenue, while 99214 and 99213 together add the bulk of the remaining share, which highlights sensitivity of overall revenue to utilization or payer changes affecting these specific codes. Such concentration means shifts in access to or reimbursement for pembrolizumab or changes in outpatient visit patterns could materially affect reported Medicare revenue.

    This provider is effectively single-payer in the available dataset: Total Medicare revenue is $1M while there is no Medicaid billing on file (none). The absence of Medicaid activity in the records makes Medicare the primary — and for reporting purposes the sole — source of public-payer revenue, which has implications for payer-mix exposure and contracting analyses focused on Medicare fee schedules and utilization patterns. Analysts should treat Medicaid-related market access or state-level program participation as unknown from these claims alone.

    Competitive standing is mixed across specific codes: for the revenue-driving oncology drug J9271 the provider ranks #406 of 1841 nationally (77th percentile) which the source labels as typical, unremarkable volume relative to peers, even though it generates the majority of the provider’s Medicare dollars. In contrast, office visit codes 99214 (851 claims, $79.1K revenue) and 99213 (753 claims, $45.9K revenue) rank in the 96th and 97th percentiles nationally and are described as notably above typical national volume, indicating the provider sees substantially more outpatient visit volume than most peers. This pattern suggests a practice that pairs a standard national-level pembrolizumab infusion workload with a higher-than-typical ambulatory visit throughput.

    The practice shows a substantial ambulatory workload in addition to drug administration: 99214 accounts for 851 claims ($79.1K) and 99213 for 753 claims ($45.9K), together representing the two largest non-drug revenue contributors. The notably above-typical national volume labels for these E/M codes imply frequent patient follow-up and management visits, consistent with ongoing systemic-therapy monitoring and chronic oncology care. For payer negotiations or network capacity planning, these elevated E/M volumes are as important as drug reimbursement because they drive visit-based revenue and staffing needs.

    Chemotherapy administration codes reflect an operational capacity for infusion services beyond pembrolizumab: 96413 shows 413 claims and $42.5K revenue (4.2% of Medicare revenue) and ranks #1069 of 7514 (86th percentile, labeled typical), while add-on and infusion-continuation codes such as 96417, 96411, and 96415 also appear in the top-25 with nontrivial claim counts. G0498 (56 claims, $12K) further indicates use of office/clinic-initiated infusion processes that continue in the community setting. Together these administration codes corroborate an infusion suite infrastructure with routine chemotherapy and supportive medication delivery.

    The provider’s longevity in Medicare is notable: the NPI was enumerated on 2006-05-15 (~20 years ago), indicating a long tenure in the program. This extended enrollment suggests established referral relationships and sustained Medicare billing history that can be relevant when assessing network stability, patient continuity, or historical utilization trends. Analysts should consider this tenure when benchmarking performance or when evaluating the likelihood of stable future revenue streams.

    Operational and access implications follow from the payer mix and code concentration: with $1M in Medicare revenue and no Medicaid billing on file, the provider’s exposure is concentrated both by payer and by a few high-revenue codes (top 3 = 88.1%). This profile could increase financial sensitivity to formulary, reimbursement, or utilization-management changes that affect high-revenue drugs like J9271. For state Medicaid planning or efforts to expand access, the lack of Medicaid billing flagged here should trigger outreach or verification if inclusion of this provider in Medicaid networks is a strategic objective.

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg19,800$40$772.2K
    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…850$90$79.1K
    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…750$60$45.9K
    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…410$100$42.5K
    G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…60$220$12K
    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…70$160$10.8K
    99215The provider sees an established 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…60$130$7.6K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…130$50$6.5K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…260$20$6K
    J0185Injection, aprepitant, 1 mg5,980$1$6K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927111010,000$40$440.2K
    96413220140$100$15.8K
    99214463,150110$80$13.2K
    9923355460070$90$10.9K
    G049821050$220$10.6K
    9923262199070$60$9.8K
    99213372,90070$50$6.9K
    992153451,08040$110$6.8K
    992055344020$140$4.9K
    J01851102,600$1$4.7K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elliot Professional ServicesNHInternal Medicine Physician$0$12.8M
    Exeter Hospital IncNHGeneral Acute Care Hospital$0$12.5M
    Maxwell EliaNHOphthalmology Physician$2.3M$0
    Ahad FazelatNHOphthalmology Physician$2.1M$0
    Anthony CorrentiNHOphthalmology Physician$1.5M$0
    Frederick BriccettiNHHematology & Oncology Physician$861.3K$0
    Josy MathewNHHematology & Oncology Physician$452.4K$0
    Anthony SquillaroNJThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$415.6K$0
    Peter CrowNHHematology & Oncology Physician$415.1K$0
    Michael BuffNHHematology & Oncology Physician$387.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community BridgesNHCase Management Agency$0$265.5M
    Riverbend Community Mental Health, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$118.4M
    Granite State Independent LivingNHIn Home Supportive Care Agency$0$74.7M
    Ascentria Community Services, IncNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$52.6M
    Ascentria Community Care, IncNHVoluntary or Charitable Agency$0$50.3M
    Concord Hospital, Inc.NHGeneral Acute Care Hospital$0$28.8M
    Concord Pediatric DentistryNHPediatric Dentistry$0$13.6M
    New England Life Care, Inc.NHHome Infusion Therapy Pharmacy$0$11.4M
    New Hampshire Home Care Providers LLCNHIn Home Supportive Care Agency$0$11M
    Brain Injury Association Of NhNHCase Management Agency$0$11M

    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. New Hampshire Distribution
    Gina Divenuti — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire