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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJunfang Jiao
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    Junfang Jiao — Billing Profile & Reimbursement Data

    NPI 1033455381 · Newark, DE · Allergy & Immunology Physician

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    Junfang Jiao is a allergy & immunology physician provider located in Newark, Delaware. This profile covers 14 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
    OrganizationJunfang Jiao
    Address700 Prides Xing Ste 200
    CityNewark
    StateDE
    ZIP19713
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedDecember 13, 2012

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

    Payer SourceTotal Paid
    Medicare$576.4K
    Medicaid$0

    Key Findings

    This provider’s billings are effectively single-payer: total Medicare revenue is $576.4K and there is no Medicaid billing on file, so operational and revenue analyses should be interpreted primarily through a Medicare-only lens. The absence of Medicaid activity indicates the practice does not rely on state-managed programs for its current payer mix.

    Revenue is highly concentrated in a few codes: the top 3 Medicare codes by revenue account for 79.5% of this provider's total Medicare revenue. Those top drivers are J2357 (46.5% of Medicare revenue, 8.9K claims, $266K revenue), J0517 (22.3% of Medicare revenue, 990 claims, $127.7K revenue), and 95165 (10.6% of Medicare revenue, 5.5K claims, $60.7K revenue), so drug and immunotherapy-related services dominate the practice’s Medicare receipts.

    The code mix indicates a dual focus on biologic therapy administration and allergy immunotherapy operations. High-volume biologic drug administration is shown by J2357 (Injection, omalizumab; 8.9K claims, $266K revenue) and J0517 (Injection, benralizumab; 990 claims, $127.7K revenue), while very large volumes of antigen preparation and multi-injection visits (95165: 5.5K claims, $60.7K; 95117: 3.1K claims, $27.7K) point to a robust in‑office immunotherapy program.

    Competitive standing varies by service line: for biologic injections this provider appears a modest participant nationally (J2357 ranks #115 of 581 providers nationally at the 80th percentile with a description of "typical, unremarkable volume"; J0517 ranks #125 of 200 providers nationally at the 37th percentile). In contrast, immunotherapy-related activity is unusually large compared with peers—95165 ranks #179 of 3250 providers nationally (95th percentile, "notably above typical national volume") and 95117 ranks #81 of 4051 providers nationally (98th percentile, labeled an "extreme outlier").

    Operational profile implied by procedure mix: the practice likely delivers many in‑office injections and on-site antigen mixing and skin testing rather than deriving most revenue from E/M visits. E/M codes such as 99213 (366 claims, $23.8K) and 99214 (204 claims, $18.8K) contribute only modestly to revenue relative to J2357/J0517/95165, while high counts for 95024 (2K claims, $12.3K) and 95004 (2.7K claims, $8K) confirm a heavy emphasis on diagnostic skin testing and reporting.

    Ancillary services support respiratory and injection workflows: the practice reports notable volumes for injection administration and respiratory testing (96372: 505 claims, $5.6K revenue, characterized as "notably above typical national volume"; 94010: 270 claims, $5.1K revenue, described as typical). These ancillary codes suggest staff and equipment for injections and basic pulmonary function testing are part of routine operations.

    Concentration risk should be highlighted to payers and network planners because biologic drug administration dominates revenue; J2357 alone accounts for $266K and 46.5% of Medicare revenue, and together with J0517 these biologic injections are primary revenue drivers. Dependence on a small set of high-cost drug administration codes (top 3 = 79.5% of Medicare revenue) means reimbursement changes or formulary/coverage shifts for these agents could materially affect the provider’s Medicare revenue.

    The provider has an established NPI tenure that supports longitudinal billing behavior analysis: NPI enumerated 2012-12-13 (~14 years ago). This consistent enumeration period combined with extreme and notably above-typical volumes in immunotherapy codes suggests a long-standing clinical focus on allergy/immunology services rather than a recent change in service mix.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2357Injection, omalizumab, 5 mg8,870$30$265.9K
    J0517Injection, benralizumab, 1 mg990$130$127.7K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.5,520$10$60.7K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.3,080$10$27.7K
    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…370$70$23.8K
    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…200$90$18.8K
    95024The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.2,050$10$12.3K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.2,660$1$8K
    99204The provider sees a new 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 provider…60$130$7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…510$10$5.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J23571107,320$30$180.8K
    J0517110990$130$127.5K
    992147551,830150$80$25.5K
    951651201,160$10$17.4K
    992133141,810120$60$13.6K
    9920431695030$110$6.5K
    9920334667040$70$5.3K
    95117230390$10$5.3K
    95024220610$10$5.2K
    95004530960$1$4.5K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ent And Allergy Of Delaware LLCDESpecialist$0$5.4M
    Sokun BhattiDEAllergy & Immunology Physician$237.6K$0
    Neil HocksteinDESpecialist$233.8K$0
    Kieran ConnollyDESpecialist$220.9K$0
    William SheppardDEOtolaryngology Physician$219K$0
    Gregg GoldsteinDEOtolaryngology Physician$210.7K$0
    Michael TeixidoDESpecialist$204.2K$0
    Jagdeep HundalDEOtolaryngology Physician$188.7K$0
    Todd SpockDEOtolaryngology Physician$180.7K$2.5K
    Jay LuftDEPlastic Surgery within the Head & Neck (Otolaryngology) Physician$177.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Columbus Medical Services, LLCDECase Management Agency$0$18.7M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Caritas Home Health Services, IncDEHome Health Agency$0$11.2M
    Delaware Center For Maternal Fetal Medicine Of Christiana CareDEMaternal & Fetal Medicine Physician$0$9.8M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Medical Oncology Hematology Consultants PADEHematology & Oncology Physician$0$7.7M
    Christiana Care Quality PartnersDEUrgent Care Clinic/Center$0$7M
    Jamal MislehDEHematology & Oncology Physician$6.8M$0
    Mid-atlantic Behavioral Health, LLCDEIntellectual & Developmental Disabilities Psychologist$0$6.5M

    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. Delaware Distribution
    Junfang Jiao — 5 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware