Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJonathan Calkwood
    Ask Trek AI about this page

    Jonathan Calkwood — Billing Profile & Reimbursement Data

    NPI 1194765388 · Golden Valley, MN · Neurology Physician

    Customize your policy alerts

    Sign up for Jonathan Calkwood — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jonathan Calkwood is a neurology physician provider located in Golden Valley, Minnesota. This profile covers 20 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJonathan Calkwood
    Address4225 Golden Valley Rd
    CityGolden Valley
    StateMN
    ZIP55422
    TaxonomyNeurology Physician
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider bills almost exclusively to Medicare (Total Medicare revenue: $1.3M) and has no Medicaid billing on file, making the practice effectively single-payer from a public-program perspective. The platform’s precomputed metric shows the top 3 Medicare codes account for 94.2% of this provider’s Medicare revenue, indicating a highly concentrated revenue base.

    Revenue is dominated by three drug-injection codes: J2350 ($841.8K, 66.2% of this provider's total Medicare revenue), J1569 ($180.7K, 14.2%), and J1568 ($175.7K, 13.8%). Because those three line items together account for the precomputed 94.2% share, the business economics of this practice are driven almost entirely by reimbursement for infused biologic and immunoglobulin products rather than routine office evaluation payments.

    The code mix (large volumes of J2350, J1569, J1568 alongside several infusion administration codes such as 96365, 96366 and additive chemotherapy codes) is consistent with a neurology-focused infusion practice providing biologic therapies like ocrelizumab and IVIG. Typical E/M codes (for example 99215 with $19.7K revenue, 159 claims) represent only a small fraction of total Medicare revenue, suggesting that face-to-face clinic visits are a secondary revenue stream compared with drug administration.

    On national competitive standing for the top drug, J2350 ranks #31 of 105 providers nationally (71th percentile) and is labeled in the data as "typical, unremarkable volume for this code," which indicates the provider is a moderate-volume participant for ocrelizumab at the national level rather than a dominant outlier. This pattern reduces the likelihood that the practice is an unusually large national center for that single drug despite the high dollar concentration.

    The two IVIG line items also reflect middle-to-upper quartile national positioning without being extreme outliers: J1569 ranks #182 of 542 providers (66th percentile) and J1568 ranks #83 of 381 providers (78th percentile), both described as "typical, unremarkable volume for this code." Together, these rank/percentile signals point to a practice with meaningful specialty volume but not top-of-market dominance in either IVIG product.

    Operational sensitivity: because a very large share of revenue comes from high-cost injectable biologics and immunoglobulins (see J2350, J1569, J1568), the practice’s topline is likely sensitive to formulary changes, acquisition-pricing shifts, and reimbursement policy updates for those products. Administrative and inventory management for specialty drug administration are likely central operational considerations for this provider.

    Despite the high concentration in infused drugs, many procedure codes across the list are characterized in the dataset as "typical, unremarkable volume for this code," including infusion administration and minor injection codes. There are also low-percentile entries (for example G2212 at the 4th percentile and J0897 at the 10th percentile) which the file still labels as "typical, unremarkable volume for this code," suggesting no individual code besides the top three stands out as a statistical extreme in the available Medicare sample.

    The provider’s NPI was enumerated on 2006-06-07 (~20 years ago), indicating a long-tenured billing presence in Medicare that supports continuity of the specialty infusion pattern observed in the claims mix. Longevity combined with the concentrated drug-driven revenue profile frames this as an experienced, niche neurology infusion operation rather than a newly established clinic pivoting into specialty injectables.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2350Injection, ocrelizumab, 1 mg18,300$50$841.8K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg5,020$40$180.7K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg5,490$30$175.7K
    J0897Injection, denosumab, 1 mg1,080$20$20.5K
    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…160$120$19.7K
    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.180$50$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…80$100$7.7K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.200$20$3.2K
    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…30$90$2.8K
    99205The provider sees a new 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 provider…20$150$2.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J235041019,500$50$1M
    J15683103,560$30$141.7K
    J15695103,220$30$137.2K
    J089777901,770$20$50.8K
    9641310823070$100$11.5K
    992147,67110,10070$80$8.1K
    992151924,06030$120$5.9K
    992059431,35020$150$4.1K
    992137,9249,12050$50$4K
    963651826030$50$3.2K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason RaaschMNAllergy & Immunology Physician$2.1M$0
    Heli HunterMNNurse Practitioner$1.2M$0
    Kathleen SteensmaMNFamily Nurse Practitioner$53.7K$0
    Ashley DesrocherMINurse Practitioner$8.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Memorial Health CareMNGeneral Acute Care Hospital$0$32.5M
    Restart, IncMNAdult Care Home Facility$0$13.9M
    Twin Cities Physicians Professional CorporationMNMulti-Specialty Clinic/Center$0$11.4M
    Dose Health LLCMNEmergency Response System Companies$0$10.6M
    Bio-medical Applications Of Minnesota, Inc.MNEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.2M
    Cld - Robbinsdale Mn, LLCMNDental Clinic/Center$0$6.8M
    Driving Miss Daisy, Inc.MNNon-emergency Medical Transport (VAN)$0$5.7M
    North Memorial Health CareMNHospitalist Physician$0$5.6M
    Minneapolis Clinic Of Neurology, LtdMNNeurology Physician$0$5M
    Clemencia RasquinhaMNGeriatric Medicine (Family Medicine) Physician$2.5M$0

    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. Minnesota Distribution
    Jonathan Calkwood — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota