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    OpenPayerNPI Medicare & MedicaidEllen Chirichella
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    Ellen Chirichella — Billing Profile & Reimbursement Data

    NPI 1952528499 · Anchorage, AK · Hematology & Oncology Physician

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    Ellen Chirichella is a hematology & oncology physician provider located in Anchorage, Alaska. This profile covers 45 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
    OrganizationEllen Chirichella
    Address3851 Piper St. U340
    CityAnchorage
    StateAK
    ZIP99508
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 19, 2007

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

    Payer SourceTotal Paid
    Medicare$855.8K
    Medicaid$0

    Key Findings

    Medicare is the sole payer of record for this clinician: lifetime Medicare revenue is $855.8K while Medicaid shows none (no Medicaid billing on file), making this effectively a single‑payer Medicare practice for the data observed. That concentration creates revenue dependence on Medicare reimbursement policy and beneficiary volume in this provider’s service area.

    Revenue concentration is highly focused: the precomputed top three Medicare codes account for 74.6% of this provider’s total Medicare revenue, indicating a small number of high‑value oncology therapies dominate earnings. The largest single code, J9271, contributes $434.6K (51.5% of Medicare revenue), so shifts in utilization or reimbursement for these specific drugs would disproportionately affect total revenue.

    The provider’s service mix is consistent with outpatient medical oncology and infusion care: J9271 (pembrolizumab) and J0897 (denosumab) are the two largest drug revenue sources, and chemotherapy administration codes such as 96413 and add‑ons like 96417 are also present. In addition, E/M codes 99214 and 99213 appear among top revenue lines, reflecting ongoing office follow‑up and management of established cancer patients alongside in‑office infusion services.

    Competitive standing for the principal biologic therapy is modest: J9271 ranks #1102 of 1841 providers (39th percentile) and is characterized in the data as "typical, unremarkable volume for this code," so although J9271 dominates this provider’s revenue mix, the provider is not a national leader in pembrolizumab volume. By contrast, denosumab (J0897) ranks #2184 of 10057 providers (78th percentile) and is also labeled "typical, unremarkable volume for this code," suggesting relatively stronger activity on that supportive‑care agent versus many peers.

    Office visit utilization shows above‑median relative activity: 99214 accounts for $76.3K (9.0% of Medicare revenue) and ranks #35988 of 479517 providers (92th percentile), described as "typical, unremarkable volume for this code." This suggests a steady cadence of moderate‑complexity follow‑up visits, consistent with longitudinal management of oncology patients in an outpatient setting.

    Ancillary services and monitoring are evident: lab panels and CBCs (80053 and 85025) appear in the top codes and rank in the 92th and 91th percentiles respectively, each labeled "typical, unremarkable volume for this code." Frequent use of these panels aligns with active systemic therapy practice that requires routine laboratory monitoring for treatment safety and toxicity surveillance.

    Practice operations include both direct drug administration and transition to home infusion models: G0498 (chemotherapy administration with initiation in clinic and continuation in the community using a portable pump) appears in the top codes, indicating the provider performs infusion starts that may be continued in non‑clinic settings. Presence of pegfilgrastim (J2506) and antiemetic combination therapy (J1454) among revenue drivers further supports a full‑service oncology infusion practice that provides supportive care agents alongside primary anticancer biologics.

    Provider tenure is long enough to indicate established practice patterns: the NPI was enumerated on 2007-04-19 (~19 years ago), giving the clinician a sustained presence in the market that corresponds with the observed mix of recurrent office visits, infusion administration, and supportive care billing. That longevity, combined with concentrated Medicare revenue, suggests steady practice operations centered on medically managed oncology care for Medicare beneficiaries.

    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg10,600$40$434.6K
    J0897Injection, denosumab, 1 mg6,240$20$118.6K
    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…600$130$76.3K
    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…320$120$37.7K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg400$80$32.5K
    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…340$80$27.8K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg50$370$19.9K
    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…100$180$18.3K
    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…60$220$13.8K
    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$160$9.9K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927191013,300$40$609.5K
    J08979302,700$20$82.7K
    J2506310440$80$36.8K
    96413620230$110$30.2K
    J145421050$350$18.4K
    99214421,21090$100$16.2K
    992158440040$150$11K
    99213841,29070$70$8.5K
    G049811050$150$7.5K
    992051914030$190$7.4K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shannon SmileyAKHematology & Oncology Physician$1.6M$0
    Natalie WallaceAKHematology & Oncology Physician$1.2M$0
    Theodore KimAKHematology & Oncology Physician$1.2M$0
    Katmai Oncology Group, LLCAKMedical Oncology Physician$0$872.8K
    Kendal WebbAKHematology & Oncology Physician$292.4K$0
    Mary KlixAKHematology & Oncology Physician$113.4K$0
    Terri TopeAKNurse Practitioner$48.3K$0
    Charles BuessAKHematology & Oncology Physician$4.2K$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. Alaska Distribution
    Ellen Chirichella — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska