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    OpenPayerNPI Medicare & MedicaidJacqueline Dean
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    Jacqueline Dean — Billing Profile & Reimbursement Data

    NPI 1184690364 · Albuquerque, NM · Rheumatology Physician

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    Jacqueline Dean is a rheumatology physician provider located in Albuquerque, New Mexico. This profile covers 15 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
    OrganizationJacqueline Dean
    Address1617 University Blvd Ne
    CityAlbuquerque
    StateNM
    ZIP87102
    TaxonomyRheumatology Physician
    NPI EnumeratedFebruary 27, 2006

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

    Payer SourceTotal Paid
    Medicare$601.6K
    Medicaid$0

    Key Findings

    This provider is a rheumatology-focused outpatient infusion practice by code mix and revenue concentration: the top drug code J0129 (abatacept) accounts for $353.7K in Medicare revenue (58.9% of the provider's total Medicare revenue) and the provider reports 10.4K claims for that code, indicating heavy reliance on physician-administered biologic therapy rather than clinic-only evaluation and management visits. Additional high-revenue biologic codes reported (J1602, J0897, J1745) reinforce that the operation centers on infusion/IV or supervised injectable biologic administration rather than procedure-based specialties.

    Revenue concentration is high: the precomputed top-3 Medicare codes by revenue together account for 78.3% of this provider's total Medicare revenue, creating a narrow revenue base dominated by a few biologic drug codes. That concentration implies operational and payer-negotiation sensitivity to changes in biologic utilization, reimbursement, or interchange with biosimilars.

    Scale and payer mix are effectively single-payer for federal programs: total Medicare revenue is $601.6K while there is no Medicaid billing on file, meaning Medicaid contributes $0 to the dataset and the provider’s publicly visible government-revenue footprint is essentially Medicare-only. This profile indicates limited exposure to Medicaid patient volume and state-program reimbursement dynamics in the available claims.

    Competitive standing on the largest revenue code is middle-of-the-pack nationally: J0129 ranks #457 of 1221 providers nationally (63th percentile; typical, unremarkable volume for this code), so the provider is a meaningful but not dominant national participant in abatacept administration. Other high-revenue drugs show mixed national positions — J1602 at #900 of 1041 (14th percentile; typical, unremarkable volume) and J0897 at #4342 of 10057 (56th percentile; typical, unremarkable volume) — indicating variable competitiveness across specific biologics.

    Ambulatory E/M activity is present but small relative to drug revenue: 99213 generated $23.9K (4.0% of Medicare revenue) across 398 claims and ranks #39333 of 457151 providers nationally (91th percentile; typical, unremarkable volume for this code), suggesting steady established-patient clinic visits that support the infusion workload but do not drive overall revenue. In contrast, infusion- and chemotherapy-administration codes such as 96413 ($12.3K, 137 claims), 96365 ($7.9K, 171 claims), and 96415 ($2.8K, 138 claims) confirm an on-site infusion capability.

    Several revenue-driving codes are at or near median national activity, which supports characterization as a typical local infusion provider rather than a regional or national center of excellence: J0897 is at the 56th percentile (typical, unremarkable volume), J1745 is at the 26th percentile (typical, unremarkable volume), and 99214 sits at the 54th percentile (typical, unremarkable volume). These positions imply routine clinical volumes without extreme outlier behavior.

    There is measurable variation in national standing across specific biologics that could affect contracting strategy: J1602 shows low national standing (#900 of 1041; 14th percentile; typical, unremarkable volume) and J0717 reports very low percentile placement (#836 of 848; 1th percentile; typical, unremarkable volume), signaling that for some therapies this provider is a modest participant nationally and might be less influential in supply or reimbursement negotiations for those agents.

    Tenure is long enough to reflect an established practice: the NPI was enumerated 2006-02-27 (~20 years ago), indicating sustained presence in the Medicare program and a billing history that supports longitudinal review for utilization patterns and changes in biologic mix over time.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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)10,400$30$353.7K
    J1602Injection, golimumab, 1 mg, for intravenous use5,990$10$59.9K
    J0897Injection, denosumab, 1 mg3,180$20$57.2K
    J1745Injection, infliximab, excludes biosimilar, 10 mg1,640$20$39.2K
    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)6,800$1$27.2K
    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…400$60$23.9K
    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…140$90$12.3K
    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…120$90$11.3K
    96365The 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.170$50$7.9K
    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…30$110$3.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01294109,930$30$358.6K
    J071741056,620$1$255.7K
    J16025108,900$10$132.4K
    J089724503,150$20$113.2K
    J17454101,690$30$44.5K
    964133040170$90$17.7K
    992141,0952,70090$70$12.9K
    992131832,44060$50$7.3K
    96365124080$40$6K
    963672420140$20$4.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scott StoernerNMRheumatology Physician$1.5M$0
    Leroy PachecoNMRheumatology Physician$787.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricore Reference LaboratoriesNMClinical Medical Laboratory$0$64.8M
    Bright Horizons, Inc.NMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$46.9M
    Lovelace Health System LLCNMGeneral Acute Care Hospital$0$45.2M
    Tricore Inc.NMClinical Medical Laboratory$7M$35.8M
    App Of New Mexico Ed PLLCNMEmergency Medicine Physician$0$42M
    Duke City Recovery Toolbox LLCNMCommunity/Behavioral Health Agency$108.4K$28M
    Metro Treatment Of New Mexico LPNMMethadone Clinic$220.4K$27.9M
    Enchanted Care Solutions, LLCNMHome Health Agency$0$25.8M
    Open Skies HealthcareNMCommunity/Behavioral Health Agency$0$23.8M
    Krossroads Integrative Health And Recovery Solutions IncNMMental Health Clinic/Center (Including Community Mental Health Center)$0$16.7M

    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. New Mexico Distribution
    Jacqueline Dean — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico