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    OpenPayerNPI Medicare & MedicaidBarry Jacobson
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    Barry Jacobson — Billing Profile & Reimbursement Data

    NPI 1275679250 · Glen Mills, PA · Obstetrics & Gynecology Physician

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    Barry Jacobson is a obstetrics & gynecology physician provider located in Glen Mills, Pennsylvania. This profile covers 10 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
    OrganizationBarry Jacobson
    Address1020 Baltimore Pike Ste 220
    CityGlen Mills
    StatePA
    ZIP19342
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedJanuary 29, 2007

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

    Payer SourceTotal Paid
    Medicare$3M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the material business line: lifetime Medicare revenue is $3M while Medicaid billing is listed as none, indicating the provider operates as effectively single‑payer (Medicare) in the available records. The absence of Medicaid claims on file means any Medicaid-facing volumes or revenue streams are negligible or not submitted under this NPI.

    Revenue is highly concentrated in three Medicare codes: J3111 (57.4%), J0897 (36.8%), and 99214 (2.2%), which together account for 96.4% of this provider’s total Medicare revenue. That concentration indicates the practice’s financial model is driven overwhelmingly by a small set of services rather than a broad mix of office-based E/M care.

    The top revenue codes point to an in‑office biologics and injection service line: J3111 (romosozumab) and J0897 (denosumab) are high‑cost, provider‑administered injections commonly used in bone‑health management, and supporting codes such as 96372 and 96365 document frequent in‑office administration and infusion activity. These clinical code choices suggest the provider’s operations prioritize specialty drug administration clinics or injection sessions alongside routine outpatient visits.

    The provider is a national outlier for key biologic injections: J3111 ranks #2 of 970 providers (100th percentile; extreme outlier, far above typical national volume for this code) and J0897 ranks #13 of 10057 providers (100th percentile; extreme outlier, far above typical national volume for this code). Those ranks and percentiles indicate dominant national volume for these specific injectable products rather than modest local participation.

    Procedural administration codes also show outsized volume and support the injectable-focused profile: 96372 has 2K claims, $12 avg paid/claim, $24.3K revenue (0.8%) and ranks #62 of 58224 providers (100th percentile; extreme outlier, far above typical national volume for this code), while J3489 (zoledronic acid) ranks #1 of 3032 providers (100th percentile; extreme outlier) with $15.3K revenue. The combination of high ranks on both drug and administration codes points to high throughput in delivering injectable therapies.

    Office evaluation-and-management activity exists but is a secondary revenue driver: 99214 shows 732 claims, $90 avg paid/claim, $65.9K revenue (2.2%) and ranks #23871 of 479517 providers (95th percentile; notably above typical national volume for this code). This suggests the provider maintains a meaningful level of longitudinal outpatient care, but E/M revenue is small compared with biologics revenue.

    The provider has an established NPI tenure, enumerated 2007-01-29 (~19 years ago), which supports interpretation that the injectable/biologics pattern is not new or transient under this NPI. Longevity combined with concentrated specialty drug billing is consistent with an established practice focus on in‑office administration of bone‑health biologics.

    Operational and payer implications follow from the concentration: because J3111 and J0897 dominate revenue ($1.7M and $1.1M respectively within the Medicare $3M total), reimbursement policy changes, prior‑authorization practices, or shifts in prescribing guidelines for these biologics could materially affect this provider’s Medicare revenue. Coupled with having no Medicaid billing on file, the provider faces concentrated payer and product exposure that would be important for contracting and utilization reviews.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3111Injection, romosozumab-aqqg, 1 mg212,520$10$1.7M
    J0897Injection, denosumab, 1 mg60,540$20$1.1M
    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…730$90$65.9K
    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…2,030$10$24.3K
    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.510$50$23.5K
    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…160$130$20.9K
    J3489Injection, zoledronic acid, 1 mg2,550$10$15.3K
    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…70$130$9.4K
    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$70$8.4K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$70$3.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J311116016,590$10$176.8K
    J089715302,460$20$89.6K
    9921469623,230100$80$14.5K
    992152,0497,17040$120$8.6K
    992136,94322,37070$60$7.7K
    96365431070$50$5.3K
    9920427110,29030$110$5K
    992211291,50020$60$1.7K
    J34891100120$10$1K
    9637211,48050$10$1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Main Line HealthcarePAFamily Medicine Physician$0$8.2M
    Daniel LinPAFamily Medicine Physician$127.1K$2.4M
    Nicholas DzeboloCAInterventional Cardiology Physician$2.2M$170
    Thais MoldovanPARheumatology Physician$1.1M$0
    Jennifer ArmstrongPAMedical Oncology Physician$545.2K$0
    Amanulla KhajiPAHospitalist Physician$528.3K$4.6K
    Theodore PlushNJPulmonary Disease Physician$482.8K$0
    Courtney StullCARheumatology Physician$446.6K$360
    Raffi MegerianPAInternal Medicine Physician$367.3K$0
    Jason BradleyPACardiovascular Disease Physician$366.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arum Healthcare ServicesPAHome Health Agency$0$12.5M
    Nehal GandhiPARheumatology Physician$8M$0
    Anthony RooklinPAAllergy & Immunology Physician$1.3M$0
    David ThomasPANeurology Physician$477.3K$0
    Eric SmithPAOrthopaedic Surgery Physician$430.7K$0
    Kari BoucherPADermatology Physician$312.2K$0
    Sarah TonelliPADermatology Physician$302.6K$0
    Robin ScheinerPADermatology Physician$286K$0
    Lisa CarrollPADermatology Physician$258.7K$0
    John LukschPASports Medicine (Family Medicine) Physician$239.1K$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. Pennsylvania Distribution
    Barry Jacobson — 7 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania