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 Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado 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. Colorado (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.

James Levine (NPI 1093793838)

Field	Value
Entity Type	Individual
Organization	James Levine
Address	1675 18th Ave
City	Greeley
State	CO
ZIP	80631
Taxonomy	Rheumatology Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

Provider is effectively a single-payer Medicare practice: lifetime Medicare revenue is $1.7M and there is no Medicaid billing on file, so Medicaid does not appear in this provider’s payer mix. This concentration indicates the provider’s financial footprint and claims experience are driven almost entirely by Medicare reimbursement policies and patient population.

Revenue is highly concentrated in a small number of drug-administration codes: the top 3 Medicare codes (J0129, J3262, J1602) account for 73.8% of the provider’s total Medicare revenue. Those three codes are J0129 ($747.5K, 42.3%), J3262 ($345.6K, 19.5%), and J1602 ($211.6K, 12.0%), showing a heavy dependence on biologic drug billing rather than office-based evaluation and management.

The code mix is consistent with an infusion-focused rheumatology practice: J0129 (abatacept), J3262 (tocilizumab), J1602 (golimumab) and additional biologic/injectable drugs such as J1745 and J0897 dominate revenue, while high-volume infusion administration codes 96365 and 96415 point to on-site infusion activity. Notably, 96365 is described as "notably above typical national volume" (rank #287 of 8873, 97th percentile) and 96415 is also "notably above typical national volume" (rank #184 of 4959, 96th percentile), reinforcing that infusion delivery is a core operational service.

Competitive standing for the top biologic products is above average but not uniquely dominant: J0129 ranks #103 of 1221 providers nationally (92nd percentile) and is labeled "typical, unremarkable volume," J3262 ranks #133 of 618 (79th percentile, "typical, unremarkable volume"), and J1602 ranks #276 of 1041 (74th percentile, "typical, unremarkable volume"). These percentiles indicate the provider is an active, above-average national participant for these drugs but not an extreme outlier.

Office visit E/M revenue is present but small relative to drug revenue: 99214 represents $46.1K (2.6% of Medicare revenue) and 99213 represents $18.1K (1.0%), with 99214 ranked in the 90th percentile nationally and labeled "typical, unremarkable volume." This pattern suggests that while regular ambulatory care visits occur, most revenue is generated by drug administration rather than routine E/M services.

Operational and reimbursement sensitivity: with 73.8% of Medicare revenue coming from three biologic codes, the provider’s revenue profile is materially tied to biologic utilization and Medicare payment rates for infused/ injectable therapies. Any changes in reimbursement, utilization guidelines, or site-of-care payment policies for these high-revenue drugs could disproportionately affect this practice’s financial performance.

Tenure and local presence: the NPI was enumerated on 2006-01-03 (~20 years ago), indicating a long-standing practice in GREELEY, CO. This extended tenure, combined with the concentrated biologic/infusion service line, suggests an established operational model and patient base for rheumatologic infusion services in the local market.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	22,650	$30	$747.5K
J3262	Injection, tocilizumab, 1 mg	69,120	$10	$345.6K
J1602	Injection, golimumab, 1 mg, for intravenous use	21,160	$10	$211.6K
J3111	Injection, romosozumab-aqqg, 1 mg	17,430	$10	$139.4K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4,650	$30	$120.9K
99214	The 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…	500	$90	$46.1K
J0897	Injection, denosumab, 1 mg	2,340	$20	$42.1K
96413	Chemotherapy 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	$90	$38.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	580	$50	$28.5K
99213	The 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…	270	$70	$18.1K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

James Levine — 5 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	1	30	6,280	$30	$250.4K
J3262	1	20	28,180	$1	$158.6K
J1745	13	40	3,180	$30	$110.6K
J1602	2	20	8,100	$10	$108.9K
J3111	8	40	9,770	$10	$108.3K
J0897	79	140	2,580	$20	$68.8K
96413	18	140	130	$100	$19.7K
99214	338	8,160	80	$80	$11.3K
96365	10	170	100	$50	$9.5K
99213	678	7,200	70	$60	$6.6K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$14.9M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$8M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Poudre Valley Medical Group, LLC	CO	Urgent Care Clinic/Center	$0	$6M
Inder Singh	CA	Interventional Cardiology Physician	$4.7M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Jodie Gallegos	CO	Family Nurse Practitioner	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Range Behavioral Health	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$73M
North Colorado Medical Center	CO	General Acute Care Hospital	$0	$21.4M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$13M
Schaefer Enterprises, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$13M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$10.8M
Emergency Professionals Of Colorado, PC	CO	Emergency Medicine Physician	$0	$10.7M
Birch Assisted Living	CO	Assisted Living Facility	$0	$7.5M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$6.7M
American Medical Response Of Colorado Inc	CO	Land Ambulance	$176.5K	$1.2M
Suraj Singh	CO	Radiation Oncology Physician	$684K	$0

James Levine — 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