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    OpenPayerNPI Medicare & MedicaidJodie Gallegos
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    Jodie Gallegos — Billing Profile & Reimbursement Data

    NPI 1235626466 · Colorado Springs, CO · Family Nurse Practitioner

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    Jodie Gallegos is a family nurse practitioner provider located in Colorado Springs, Colorado. 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
    OrganizationJodie Gallegos
    Address2773 Janitell Rd
    CityColorado Springs
    StateCO
    ZIP80906
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedApril 13, 2018
    NPI DeactivatedMarch 31, 2021

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    JODIE GALLEGOS (Family Nurse Practitioner, Colorado Springs) bills predominantly for specialty injectable biologics and infusion administration rather than standard office E/M services; the top billed items are high-cost J‑codes and infusion CPTs, which together point to an operational model focused on clinic-administered injectable therapies and repeat infusions. The presence of multiple high-volume biologic injection codes suggests services consistent with an infusion or specialty injection practice rather than primary-care-only encounters.

    Revenue is highly concentrated in a small set of Medicare drug administrations: the precomputed top 3 Medicare codes by revenue account for 64.3% of this provider's total Medicare revenue, led by J1561 ($893.9K, 32.3%), J2350 ($475.2K, 17.1%), and J1306 ($414.1K, 14.9%). This concentration indicates that a few specific products drive most of the $2.8M in reported Medicare revenue.

    Payer mix is effectively single-payer: Total Medicare revenue is $2.8M while Medicaid billing is listed as none, meaning there is no Medicaid billing on file. This makes the provider highly dependent on Medicare reimbursement and potentially sensitive to Medicare drug-pricing or coverage changes, with limited diversification into state Medicaid populations.

    Competitive standing varies by product: the provider is a national high-volume outlier on several injectables — for example J1306 ranks #19 of 462 providers nationally (96th percentile; notably above typical national volume) and J3032 ranks #4 of 71 (96th percentile; notably above typical national volume). At the same time, other high-revenue codes show more typical positioning (J1561 ranks #8 of 180, 96th percentile but labeled typical, unremarkable volume; J2350 ranks #61 of 105, 39th percentile, typical), indicating strength in select drug lines rather than uniform dominance across all specialty products.

    Several non-drug infusion and chemotherapy administration CPTs support an active infusion practice: 96365 generated $26.7K (622 claims) and ranks #247 of 8873 (97th percentile; notably above typical national volume), 96366 generated $10.7K (761 claims) and ranks #84 of 2976 (97th percentile; notably above typical national volume), and 96372 generated $4.3K (431 claims) and ranks #2107 of 58224 (96th percentile; notably above typical national volume). These counts and percentiles indicate routine in-clinic IV administration and multiple-hour infusion activity beyond isolated injections.

    Beyond the top three, the provider bills meaningfully for additional specialty injections that further diversify the drug mix: J3111 contributed $339.4K (12.2% of Medicare revenue) and J0897 contributed $297K (10.7% of Medicare revenue), with J0897 ranked #435 of 10057 nationally (96th percentile; notably above typical national volume). This pattern shows reliance on a portfolio of biologic agents rather than a single product line, even though overall revenue remains concentrated in the top three codes.

    Tenure of the billing NPI is relatively recent but established: NPI enumerated 2018-04-13 (~8 years ago). This timeframe is long enough to have built recurring drug-administration volume but still represents a shorter operating history compared with legacy infusion centers, which may affect payer relationships and contracting leverage.

    The data profile implies both risk and opportunity: heavy dependence on a few Medicare-covered injectable products ($2.8M total Medicare revenue, top 3 = 64.3%) creates sensitivity to payer or supply changes for those drugs, while the provider’s above-typical national volumes on specific codes (e.g., J1306, J3032, infusion CPTs) indicate scalability or specialization that could be leveraged for partnerships or expanded payer contracting if strategic diversification into non‑Medicare payers is pursued.

    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
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg23,520$40$893.9K
    J2350Injection, ocrelizumab, 1 mg10,800$40$475.2K
    J1306Injection, inclisiran, 1 mg46,010$10$414.1K
    J3111Injection, romosozumab-aqqg, 1 mg42,420$10$339.4K
    J0897Injection, denosumab, 1 mg16,500$20$297K
    J3032Injection, eptinezumab-jjmr, 1 mg20,000$10$260K
    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…510$90$45.7K
    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.620$40$26.7K
    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.760$10$10.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…430$10$4.3K

    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
    J235021015,000$50$683.4K
    J156111015,520$40$517.8K
    J303211013,500$10$175.9K
    J130611010,080$10$143.2K
    J31112409,770$10$108.3K
    J089721402,580$20$68.8K
    964138140130$100$19.7K
    963659170100$50$9.5K
    964153211080$20$2.2K
    9636617090$20$2.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Poudre Valley Medical Group, LLCCOUrgent Care Clinic/Center$0$6M
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Cedar Valley Pathologists PCIAClinical Pathology/Laboratory Medicine Physician$0$1.8M
    James LevineCORheumatology Physician$1.7M$0
    John StorheimCOAnesthesiology Physician$1.3M$0
    John WatkinsNDRadiation Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peak Vista Community Health CentersCOFederally Qualified Health Center (FQHC)$0$9.2M
    Abba Eye Care PCCOOptometrist$0$8M
    Bright Futures Psychiatry LLCCOMental Health Clinic/Center (Including Community Mental Health Center)$0$5.9M
    Visions 4 YouCOHome Health Agency$0$5.9M
    Axel Medical TransportationCONon-emergency Medical Transport (VAN)$0$5.3M
    Crossroads Turning Points IncCOSubstance Use Disorder Rehabilitation Clinic/Center$0$5.2M
    Transit To Care, LLCCONon-emergency Medical Transport (VAN)$0$4M
    Patricia BalascikCOPhysical Therapist$128.1K$0
    Colorado Springs Pathology Associates PCCOClinical Medical Laboratory$93.3K$0
    Matthew ThomasCOFoot & Ankle Surgery Podiatrist$90.8K$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. Colorado Distribution
    Jodie Gallegos — 9 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado