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    OpenPayerNPI Medicare & MedicaidJamie Schaeffer
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    Jamie Schaeffer — Billing Profile & Reimbursement Data

    NPI 1154418739 · Rapid City, SD · Family Medicine Physician

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    Jamie Schaeffer is a family medicine physician provider located in Rapid City, South Dakota. This profile covers 53 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
    OrganizationJamie Schaeffer
    Address2820 Mount Rushmore Rd
    CityRapid City
    StateSD
    ZIP57701
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 6, 2006

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

    Payer SourceTotal Paid
    Medicare$326K
    Medicaid$0

    Key Findings

    This clinician’s Medicare code mix points to a primary care/family medicine practice with a focused osteoporosis and preventive-care component: high-volume denosumab injections (J0897: 4.7K claims, $84.2K revenue, 26.8%), supporting imaging (77080: 237 claims, $9K) and bone-related labs (82306: 320 claims, $9.3K). Frequent evaluation-and-management visits (99214) and vaccine administration codes indicate the practice combines longitudinal chronic-disease management with in-office procedures and immunizations.

    Revenue concentration is high: the precomputed top three Medicare codes (J0897, 99214, 90677) account for 61.1% of this provider’s total Medicare revenue. Individually those three codes generated $84.2K (26.8%), $64.9K (20.6%), and $43.1K (13.7%) respectively, so a majority of Medicare dollars depend on injectables, established E/M visits, and a single vaccine product.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $326K while there is no Medicaid billing on file (none). This profile implies concentrated exposure to Medicare payment policy and utilization trends, with little to no Medicaid revenue diversification.

    Competitive standing varies by service line. The provider’s 99214 volume is notably above typical national volume (99214 ranks #21718 of 479517 providers nationally, 95th percentile), indicating relatively heavy E/M throughput; J0897 ranks in the 70th percentile (#3006 of 10057) and is described as typical, and 90677 ranks #240 of 52451 (100th percentile) but is also labeled typical — overall the clinician is a strong regional performer on E/M and has meaningful, but not dominant, national participation on the osteoporosis injection and pneumococcal vaccine codes.

    This provider has an established tenure: NPI enumerated 2006-10-06 (~20 years ago). The long enumeration suggests a mature practice and helps explain the mix of ongoing chronic-care codes (high-volume established visits) and recurring procedural services.

    Preventive services and in-office vaccination are prominent in the claim mix: annual wellness visits (G0439) generated $27.1K (8.6%) and pneumococcal vaccine administration codes (90677 and G0009 combined) contribute substantially to revenue and volume (90677 $43.1K; G0009 $3.1K). The practice’s percentile placements on these preventive codes (G0439 at the 90th percentile; G0009 at the 100th percentile) indicate above-typical use of prevention-focused visits and vaccine administration relative to national peers.

    The provider delivers a measurable amount of post-acute/nursing-facility care: subsequent nursing facility visits (99310) produced $13.5K (4.3%) across 122 claims, while initial nursing facility visits (99305) are much less frequent (16 claims, $1.6K, 14th percentile). This pattern suggests more follow-up/resident management in long-term care settings than intake evaluations.

    High volumes of basic lab ordering and phlebotomy support a full-scope primary care workflow: venipuncture (36415) shows 792 claims ($3.2K, 95th percentile), comprehensive metabolic panels (80053) 608 claims ($6.1K, 89th percentile), and CBCs (85025) 309 claims ($2.5K, 76th percentile). These patterns are consistent with routine chronic disease monitoring and in-office specimen collection rather than a narrow procedure-only practice.

    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.

    53 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg4,680$20$84.2K
    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…760$90$64.9K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…150$280$43.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit220$130$27.1K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…120$110$13.5K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…320$30$9.3K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…240$40$9K
    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…130$60$7.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.610$10$6.1K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…80$70$6K

    Showing 1–10 of 53

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 53 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    53 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08978402,460$20$52.8K
    770677812070$50$13.1K
    99214431,66090$70$11.4K
    G04392124060$120$10.9K
    90677111020$280$7.7K
    770637611070$30$7.5K
    9921520445040$100$7.5K
    9931042040$100$7.4K
    99309748060$70$7.1K
    0241U212030$140$6.7K

    Showing 1–10 of 53

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Monument Health Rapid City Hospital, Inc.SDMulti-Specialty Clinic/Center$0$5.2M
    Rapid City Medical Center, LLPSDMulti-Specialty Clinic/Center$0$4.5M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavior Management Systems, Inc.SDCommunity/Behavioral Health Agency$0$19.8M
    Community Health Center Of The Black Hills IncSDFederally Qualified Health Center (FQHC)$0$10.2M
    Jrk Services, IncSDHome Health Agency$0$10.1M
    Black Hills Pediatrics, LLPSDPediatrics Physician$0$9.7M
    Rapid City Emergency Services PASDEmergency Medicine Physician$0$8.2M
    Wellspring Inc.SDPsychiatry Physician$0$7.4M
    Radiology Associates Prof, LLCSDDiagnostic Radiology Physician$0$5.3M
    City Of Rapid CitySDAmbulance$1.4M$3.7M
    Black Hills Oral & Maxillofacial Surgery PCSDOral and Maxillofacial Pathology Dentistry$0$3.2M
    Black Hills Regional Eye Surgery Center, LLCSDAmbulatory Surgical Clinic/Center$2.9M$158.6K

    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. South Dakota Distribution
    Jamie Schaeffer — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota