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    OpenPayerNPI Medicare & MedicaidChinedu Okeke
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    Chinedu Okeke — Billing Profile & Reimbursement Data

    NPI 1942663364 · Tampa, FL · Anatomic Pathology & Clinical Pathology Physician

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    Chinedu Okeke is a anatomic pathology & clinical pathology physician provider located in Tampa, Florida. This profile covers 19 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
    OrganizationChinedu Okeke
    Address12902 Usf Magnolia Dr
    CityTampa
    StateFL
    ZIP33612
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedApril 2, 2016

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    Revenue concentration is extreme: top 3 Medicare codes by revenue account for 93.9% of this provider's total Medicare revenue, and that concentration is dominated by Q4262 (1K claims, $1054 avg paid/claim, $1.1M revenue (88.9% of this provider's total Medicare revenue)), with 99349 (439 claims, $103 avg paid/claim, $45.2K revenue (3.8%)) and 99350 (102 claims, $142 avg paid/claim, $14.5K revenue (1.2%)) providing the remainder of the top-three share. This means a single add‑on code supplies the vast majority of reported Medicare dollars for this NPI.

    The code mix suggests a hybrid service profile: the dominant Q4262 add‑on (dual layer impax membrane, per square centimeter) indicates extensive billing for a per‑area membrane product or procedure, while the presence of home/residence E/M codes (99349, 99350, 99348, 99344, 99345) and chronic care/remote monitoring codes (99490, 99439, 99454, 99457) points to substantial in‑home evaluation and remote care management activity. Together these elements are more consistent with procedural/device billing plus longitudinal chronic care/RPM services than a pure, office‑based anatomic pathology practice.

    Payer mix is effectively single‑payer Medicare: Total Medicare revenue is $1.2M and Medicaid shows none (no Medicaid billing on file), so this provider’s public‑program exposure is concentrated entirely in the Medicare program. That concentration creates sensitivity to Medicare coverage, payment, or coding changes for the high‑revenue codes.

    Competitive standing is mixed across codes: for the dominant Q4262 this provider ranks #92 of 141 nationally (35th percentile), indicating modest/typical volume among peers who bill that code, whereas 99349 ranks #2158 of 14284 (85th percentile) and 99350 ranks #2459 of 7304 (66th percentile), showing relatively stronger national activity for home/residence E/M services. In short, the provider is not a major national player for its top revenue driver but is comparatively more active in home‑visit E/M services.

    Tenure: the NPI was enumerated 2016-04-02 (~10 years ago), indicating roughly a decade of billing history under this identifier; the lifetime Medicare revenue reported is $1.2M. This level of revenue aligned with ~10 years of enumeration may reflect either a focused specialty practice or episodic high‑value procedural billing concentrated in specific codes.

    Statistical volume descriptors in the claim file are generally 'typical, unremarkable volume for this code' for the largest codes (including Q4262, 99349, 99350 and several chronic care/RPM codes), and no top code is labeled an extreme outlier. The combination of a dominant revenue share for Q4262 with peer percentiles described as typical suggests that the provider’s outsized revenue concentration is driven by unit value or area‑based billing rather than unusually high claim counts versus national peers.

    Operational and revenue risk: because Q4262 alone accounts for $1.1M (88.9% of Medicare revenue) and the overall Medicare total is $1.2M, any regulatory, coverage, or reimbursement changes that affect Q4262 or how add‑on per‑square‑centimeter items are billed would materially impact this provider’s Medicare revenue. Diversification appears limited in the Medicare portfolio despite a broader set of low‑revenue codes that include RPM and chronic care management services.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,010$1,050$1.1M
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…440$100$45.2K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…100$140$14.5K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…360$40$13.8K
    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…90$100$9.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…180$50$9.1K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…140$60$8.8K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.40$130$5.1K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…40$120$5K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.100$40$3.9K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42622401,120$1,000$1.7M
    99350775080$120$33K
    9934951,570140$90$27.4K
    9921467832,760140$90$25K
    9949081,200150$50$19.7K
    9945711460160$40$15K
    9945411420170$40$13.6K
    9934871,32090$50$12K
    G0318313090$20$10.8K
    992155198,55040$130$10.7K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Medical Service Association IncFLGeneral Practice Physician$0$29.4M
    H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.FLSpecial Hospital$0$24.5M
    Eden Home HealthFLDevelopmentally Disabled Services Day Training Agency$0$10.7M
    Better At Home, LLC.FLNursing Care Agency$0$9.4M
    Ameripath Florida LLCFLClinical Medical Laboratory$1.8M$288.2K
    Larry SilvermanFLRadiation Oncology Physician$1.6M$0
    Larry WilfFLNuclear Radiology Physician$1.2M$0
    Lewis GlassFLDermatopathology Physician$1.2M$0
    Chad EngelFLVascular & Interventional Radiology Physician$1.1M$0
    Basil CherpelisFLMOHS-Micrographic Surgery Physician$804.8K$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. Florida Distribution
    Chinedu Okeke — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida