Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Eric Sutphen (NPI 1932170859)

Field	Value
Entity Type	Individual
Organization	Eric Sutphen
Address	450 N New Ballas Rd Ste 70w
City	Saint Louis
State	MO
ZIP	63141
Taxonomy	Radiation Oncology Physician
NPI Enumerated	January 30, 2006

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This provider’s lifetime billing is effectively single‑payer: Total Medicare revenue is $1.9M while Medicaid revenue is recorded as none, so Medicare represents the entirety of billed public-payer activity on file. Analysts should treat this profile as Medicare-dependent when assessing reimbursement risk or market exposure.

Revenue is highly concentrated in a small number of treatment-delivery codes: the precomputed top three Medicare codes account for 85.2% of the provider’s Medicare revenue. Those top three are G6015 ($1.1M, 58.8%), 77014 ($385K, 19.9%), and 77427 ($125.6K, 6.5%), indicating most dollars derive from a narrow set of radiation therapy delivery services.

The code mix and descriptions point to a high-volume radiation oncology practice focused on intensity‑modulated and external beam treatment delivery: G6015 (IMRT delivery), 77014 (treatment delivery), and 77427 (radiation therapy) dominate the revenue picture and are supported by substantial claim counts. Supporting planning and QA codes such as 77301 (IMRT planning, $125K), 77338 (MLC/IMRT device design, $58.1K), and 77336 (ongoing medical physics consultation, $56.4K) reflect an integrated planning-and-delivery workflow.

For competitive standing, the provider is a pronounced national outlier on the top revenue codes: G6015 ranks #14 of 1429 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), 77014 ranks #19 of 4303 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 77427 ranks #35 of 4720 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). These ranks indicate unusually high national volume on specific radiation delivery services rather than routine, dispersed billing.

Several planning and physics-support codes show above-typical volume but are less dominant than the delivery codes: 77301 ($125K, 6.5% of Medicare revenue) ranks #309 of 3815 providers nationally (92th percentile; typical, unremarkable volume), 77338 ($58.1K, 3.0%) ranks #81 of 3807 providers nationally (98th percentile; notably above typical national volume for this code), and 77336 ($56.4K, 2.9%) ranks #32 of 1488 providers nationally (98th percentile; notably above typical national volume for this code). This mix suggests the operation performs both high-volume delivery and above-average physics/MLC planning activity.

Operational throughput is high on session-level codes: G6015 shows 4.2K claims with $270 avg paid/claim and 77014 shows 4.1K claims with $93 avg paid/claim, which together generate the majority of billed Medicare dollars. Those claim volumes indicate frequent per‑session billing consistent with an active treatment center rather than occasional consultative work.

Provider tenure is long: the NPI was enumerated 2006-01-30 (~20 years ago), so the clinician has an established enrollment history in Medicare. That duration supports the interpretation that current high volumes reflect a sustained clinical practice rather than a recent billing spike.

Because Medicare is the sole public payer on file and the top three codes account for 85.2% of Medicare revenue, this provider’s financial performance and payer exposure are highly sensitive to Medicare policy, reimbursement changes, or utilization reviews affecting high-volume radiation-delivery codes. Analysts should prioritize monitoring reimbursement rules and utilization edits for G6015, 77014, and 77427 when modeling future revenue or compliance risk.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	4,220	$270	$1.1M
77014	N/A	4,140	$90	$385K
77427	Radiation 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…	840	$150	$125.6K
77301	Intensity 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…	90	$1,400	$125K
77338	In 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…	160	$350	$58.1K
77336	This 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…	860	$70	$56.4K
77300	Radiation 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…	370	$50	$18.7K
99205	The 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…	100	$170	$17K
77263	The 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…	90	$130	$11.4K
88363	A pathologist performs a procedure to examine and select archived, or previously diagnosed, tissue for molecular analysis.	10	$20	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Eric Sutphen — 6 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	1	10	710	$260	$321K
77014	1	90	520	$40	$26.3K
77427	1	100	160	$150	$26.3K
77301	8	90	30	$400	$16.9K
77336	1	10	150	$60	$15.1K
77338	2	90	40	$190	$9K
77263	19	90	60	$130	$8.4K
77300	21	100	220	$30	$7.3K
99205	20	1,010	20	$140	$4.7K
88363	65	70	20	$20	$370

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Selva	TX	Radiation Oncology Physician	$2.1M	$0
Matthew Cavey	TX	Radiation Oncology Physician	$1.9M	$0
Joshua Garren	OR	Radiation Oncology Physician	$1.3M	$0
Marcus Jones	MO	Diagnostic Radiology Physician	$1.2M	$0
William Dunn	IL	Radiation Oncology Physician	$1.1M	$0
Christopher Jordan	CO	Hematology & Oncology Physician	$970.8K	$0
Chad Amosson	TX	Radiation Oncology Physician	$942.8K	$0
Nabila Waheed	TX	Radiation Oncology Physician	$939.8K	$0
Mandar Joshi	TX	Diagnostic Radiology Physician	$740.2K	$0
Navneet Mittal	TX	Hematology & Oncology Physician	$715.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospitals East Communities	MO	General Acute Care Hospital	$0	$56.5M
Bayada Home Health Care, Inc.	MO	Home Health Agency	$0	$41.2M
Mercy Clinic East Communities	MO	Internal Medicine Physician	$0	$22.2M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$19.8M
Biotech X-ray Inc	MO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$5.1M	$6M
Western Anesthesiology Associates, Inc.	MO	Anesthesiology Physician	$0	$10.9M
Team Select Home Care Of Missouri, Inc.	MO	Nursing Care Agency	$0	$10.7M
Physician Groups Lc	MO	Multi-Specialty Clinic/Center	$0	$9.8M
Sensory Solutions, LLC	MO	Occupational Therapist	$0	$7.3M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$6.2M

Eric Sutphen — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References