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 & MedicaidAmy Mcghee Jez
    Ask Trek AI about this page

    Amy Mcghee Jez — Billing Profile & Reimbursement Data

    NPI 1275976417 · Newark, DE · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Amy Mcghee Jez — 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.

    Amy Mcghee Jez is a hematology & oncology physician provider located in Newark, Delaware. This profile covers 33 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
    OrganizationAmy Mcghee Jez
    Address4701 Ogletown Stanton Rd
    CityNewark
    StateDE
    ZIP19713
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 8, 2013

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider is heavily revenue-concentrated in a small set of oncology injectables: the precomputed top 3 Medicare codes account for 77.0% of total Medicare revenue, driven by J9271 ($490.2K, 43.0%), J9144 ($328.3K, 28.8%), and J0897 ($60.5K, 5.3%). Those three drug codes together dominate the $1.1M lifetime Medicare revenue, indicating that biologic and monoclonal antibody administrations are the primary revenue drivers for this practice.

    The code mix and volumes point to an outpatient infusion/oncology treatment model rather than a primarily office-visit practice: J9271 has 11.4K claims with an average paid/claim of $43 and J9144 has 8.6K claims at $38 avg paid/claim, while chemotherapy administration codes such as 96413 (354 claims, $36.8K) and 96401 (109 claims, $6.3K) also appear on the top list. By contrast, classic E/M codes contribute materially less revenue individually (for example 99215 generated $38.2K), underscoring that drug administration and infusion services drive most billing.

    Payer mix is effectively single-payer: Total Medicare revenue is $1.1M and there is no Medicaid billing on file, so this provider’s commercial/Medicaid exposure is absent or not reportable here. That concentration on Medicare means reimbursement and utilization patterns seen in Medicare will largely determine this provider’s observable financial footprint.

    Competitive standing across national Medicare peers is mixed: for the highest-revenue code J9271 the provider ranks #1008 of 1841 (44th percentile; characterized as typical, unremarkable volume), and for J9144 the provider ranks #284 of 615 (53th percentile; typical, unremarkable volume), indicating neither national leadership nor scarcity in those drug administrations. There are pockets of relatively higher intensity—J1454 ranks #47 of 422 (88th percentile; typical, unremarkable volume) and 99215 ranks #6592 of 145531 (95th percentile; notably above typical national volume)—which suggest selective areas of above-average utilization within an otherwise typical national footprint.

    Coding intensity shows elevated complexity on office visits: 99215 appears with 281 claims, $136 avg paid/claim and $38.2K revenue, and is labeled notably above typical national volume (95th percentile). This pattern—high-complexity E/M billing together with substantial injectable administration—is consistent with managing complex oncology patients in an outpatient infusion setting.

    Supportive-care and biosimilar agents are present but represent smaller shares of revenue: Q5122 (pegfilgrastim-apgf) generated $39.2K (3.4%) across 396 claims and ranks #115 of 239 (50th percentile), while J1437 (ferric derisomaltose) produced $25.5K (2.2%) across 1.5K claims and ranks #473 of 581 (15th percentile). These entries indicate routine use of growth-factor support and IV iron, but not at market-leading intensity.

    Tenure and scale: the provider’s NPI was enumerated on 2013-04-08 (~13 years ago), establishing a multi-year presence in Medicare billing data that has produced $1.1M in lifetime Medicare revenue. The combination of steady tenure and a drug-centric revenue mix suggests an established oncology practice with ongoing infusion services.

    Operational implication of concentration: because a large majority of Medicare revenue is concentrated in a few high-cost injectable codes (notably J9271 and J9144) this provider’s Medicare revenue profile is sensitive to changes in utilization patterns, drug pricing, and coverage policies for those agents. From a payer analytics perspective, monitoring utilization trends and prior-auth patterns for these specific drugs will capture most of the provider’s Medicare-facing activity.

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg11,400$40$490.2K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj8,640$40$328.3K
    J0897Injection, denosumab, 1 mg3,360$20$60.5K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg120$330$39.7K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg400$100$39.2K
    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…280$140$38.2K
    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…350$100$36.8K
    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…290$90$26.4K
    J1437Injection, ferric derisomaltose, 10 mg1,500$20$25.5K
    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…60$160$9.5K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271101017,600$40$992.4K
    J91445109,360$40$420.8K
    J089729603,360$20$132.9K
    Q5122310400$100$61.8K
    J14377101,800$20$47.1K
    J145431090$340$38.1K
    964131130280$100$36.6K
    992145851,830150$80$25.5K
    964011530110$60$18.4K
    9923344150080$90$15.4K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Oncology Hematology Consultants PADEHematology & Oncology Physician$0$7.7M
    Jamal MislehDEHematology & Oncology Physician$6.8M$0
    Dhaval ShahDEHematology & Oncology Physician$2.5M$0
    Gregory MastersDEMedical Oncology Physician$2.3M$0
    Evan LapinskyDEHematology & Oncology Physician$1.7M$0
    Lydia ClementsDEMedical Oncology Physician$1.3M$0
    Sujung ParkDEHematology & Oncology Physician$1.2M$0
    Andrew HimelsteinDEHematology & Oncology Physician$1.1M$0
    Roberto Ferro ValdesSDHematology & Oncology Physician$1.1M$0
    Martha Hosford SkapofDEHematology & Oncology Physician$748.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Amy Mcghee Jez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Columbus Medical Services, LLCDECase Management Agency$0$18.7M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Caritas Home Health Services, IncDEHome Health Agency$0$11.2M
    Delaware Center For Maternal Fetal Medicine Of Christiana CareDEMaternal & Fetal Medicine Physician$0$9.8M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Christiana Care Quality PartnersDEUrgent Care Clinic/Center$0$7M
    Mid-atlantic Behavioral Health, LLCDEIntellectual & Developmental Disabilities Psychologist$0$6.5M
    First State Orthopaedics, PADEOrthopaedic Surgery Physician$0$6M
    Autism DelawareDEIntellectual & Developmental Disabilities Psychologist$0$5.8M

    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. Delaware Distribution
    Amy Mcghee Jez — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware