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    OpenPayerNPI Medicare & MedicaidJennifer Elliott
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    Jennifer Elliott — Billing Profile & Reimbursement Data

    NPI 1093823437 · Lincoln, NE · Rheumatology Physician

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    Jennifer Elliott is a rheumatology physician provider located in Lincoln, Nebraska. This profile covers 16 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
    OrganizationJennifer Elliott
    Address7441 O St Ste 400
    CityLincoln
    StateNE
    ZIP68510
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 27, 2006

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

    Payer SourceTotal Paid
    Medicare$767.9K
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer: total Medicare revenue is $767.9K and there is no Medicaid billing on file, so Nebraska Medicaid exposure is negligible. Analysts should treat Medicare as the dominant and only material public-payer revenue source when evaluating network access or utilization for this NPI.

    Revenue is highly concentrated in a small set of biologic drug administrations: the precomputed top three Medicare codes account for 70.2% of total Medicare revenue, led by J3111 ($280.6K, 36.1%) and followed by J0717 ($160K, 20.6%) and J3262 ($104.8K, 13.5%). This concentration indicates that a handful of high‑cost injectable biologics drive the bulk of reimbursement for this practice.

    The code mix and descriptions point to a rheumatology practice built around in‑office biologic and injectable therapy administration rather than visit volume. High revenues on drug codes such as J3111, J0717, J3262 and supplemental osteoporosis agents like J0897 ($58.3K, 7.5%) align with infusion/subcutaneous injection services and bone‑health management.

    Competitive standing varies by drug: J3111 ranks #134 of 970 providers nationally (86th percentile), indicating above‑average national volume for that specific drug, while J0717 (rank #508 of 848, 40th percentile) and J3262 (rank #490 of 618, 21th percentile) are more modest or below‑median contributors compared with peers. Overall this provider is a notable national participant for J3111 but a modest player for other top biologics.

    Operationally the provider bills a meaningful set of infusion/administration procedure codes, demonstrating on‑site therapeutic delivery capacity: 96401 appears with $13.5K (1.7%), 96413 with $7.6K (1.0%), and 96365 with $2.8K (0.4%), while the add‑on 96415 and injection code 96372 are present at smaller levels. These entries confirm routine administration of injectable/infusible therapies rather than exclusively prescribing self‑administered drugs.

    Evaluation and management services comprise a small portion of revenue relative to drugs: 99214 accounts for $20.8K (2.7%) and 99204 for $11.7K (1.5%), showing that face‑to‑face visit charges are secondary to biologic/drug administration in the revenue mix. Payers and contract analysts should therefore prioritize drug reimbursement, acquisition, and billing oversight over E/M utilization for this NPI.

    Tenure is long enough to assess patterns: the NPI was enumerated on 2006-08-27 (approximately 20 years ago), giving a two‑decade claims history that supports trend analysis and peer comparisons. This longevity increases confidence that the observed drug‑heavy billing profile is an established practice pattern rather than a transient anomaly.

    Given the lack of Medicaid billing and the fact that J3111 ($280.6K, 36.1%) and J0717 ($160K, 20.6%) are the single largest revenue drivers, payer oversight or contracting conversations should focus on utilization and reimbursement arrangements for those specific injectable biologics. Absent Medicaid activity, state Medicaid network and access issues are unlikely to be materially affected by this provider.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3111Injection, romosozumab-aqqg, 1 mg35,070$10$280.6K
    J0717Injection, certolizumab pegol, 1 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)40,000$1$160K
    J3262Injection, tocilizumab, 1 mg20,960$10$104.8K
    J0129Injection, 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)3,180$30$101.6K
    J0897Injection, denosumab, 1 mg3,240$20$58.3K
    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…240$90$20.8K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.250$50$13.5K
    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…110$110$11.7K
    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…80$90$7.6K
    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…50$130$6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01295108,880$30$476.1K
    J071741056,400$1$414.5K
    J326241055,060$1$340.9K
    J311121028,140$10$291.3K
    J0897612002,040$20$62.7K
    96413418060$90$18.2K
    992148773,210110$70$14.9K
    96401630120$50$11K
    9921536892040$110$7K
    992041401,32030$100$5.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louisiana State University School Of Med In New Orleans Faculty GrouLAPediatrics Physician$0$43M
    University Of Pittsburgh PhysiciansPAPsychiatry Physician$0$26.4M
    University Of Pittsburgh PhysiciansPASpecialist$0$23.6M
    Ashok MuthukrishnanFLNuclear Radiology Physician$3.9M$129.2K
    Daniel DeloNCRheumatology Physician$2.8M$0
    Vimala RameshPAAnesthesiology Physician$57.8K$2.2M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Pamela RathPAOphthalmology Physician$1.7M$17.7K
    Christopher HodgeMAAnesthesiology Physician$109.9K$1.6M
    Charles LukePAAnesthesiology Physician$59.3K$1.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Elizabeth Regional Medical CenterNEGeneral Acute Care Hospital$0$14.9M
    St. Monica'sNESubstance Abuse Rehabilitation Facility$0$7.1M
    HopespokeNECommunity/Behavioral Health Agency$0$3.9M
    Centerpointe, Inc.NEMental Health Clinic/Center (Including Community Mental Health Center)$0$3.7M
    Bluestem HealthNEFederally Qualified Health Center (FQHC)$0$3.6M
    Lincoln Medical Education PartnershipNEFamily Medicine Physician$0$3.2M
    HopespokeNECommunity/Behavioral Health Agency$0$2.9M
    Lincoln-lancaster County Health DepartmentNEPublic Health or Welfare Agency$0$2.7M
    Chi Health Clinic Specialty, LLCNEHospitalist Physician$0$2.6M
    Eyes On LincolnNEOptometrist$0$2.6M

    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. Nebraska Distribution
    Jennifer Elliott — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska