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    OpenPayerNPI Medicare & MedicaidYing Du
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    Ying Du — Billing Profile & Reimbursement Data

    NPI 1295725182 · Saint Louis, MO · Rheumatology Physician

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    Ying Du is a rheumatology physician provider located in Saint Louis, Missouri. This profile covers 17 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
    OrganizationYing Du
    Address3009 N Ballas Rd Ste 100b
    CitySaint Louis
    StateMO
    ZIP63131
    TaxonomyRheumatology Physician
    NPI EnumeratedOctober 24, 2005

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider is a rheumatology physician based in SAINT LOUIS, MO with long-established Medicare enrollment; the NPI was enumerated on 2005-10-24 (~21 years ago), indicating over two decades of participation in the Medicare program and a sustained billing history. That tenure supports interpretation of billing patterns as representative of an ongoing outpatient infusion/biologic practice rather than a short-term or transient billing spike.

    Medicare revenue for this provider totals $1.4M while there is no Medicaid billing on file, making the practice effectively single-payer (Medicare-focused) in the available claims data. The absence of any Medicaid codes suggests this clinician does not routinely bill state Medicaid programs or treats a population primarily covered by Medicare.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 86.5% of the provider’s total Medicare revenue, indicating dependence on a small set of drug administration codes. Those top drivers are J0129 (abatacept), J1602 (golimumab IV), and J9312 (rituximab), pointing to a practice model centered on biologic infusions or infusible specialty drugs rather than high-volume office visits.

    The code mix and descriptions (J0129, J1602, J9312 plus administration codes 96365 and 96413) signal a service-line focus on infusion of biologic disease-modifying agents and procedural administration services. Substantial revenue from injectable biologic HCPCS codes alongside frequent use of initial infusion code 96365 indicates the provider delivers in-office IV therapies and manages ongoing infusion schedules rather than primarily providing brief E/M visits.

    Competitive standing by code shows the provider has above-typical national volume for several high-revenue biologic codes but is not a national market leader. For example, J0129 ranks #235 of 1221 providers (81th percentile) and J1602 ranks #116 of 1041 providers (89th percentile), while J9312 ranks #49 of 317 providers (84th percentile); these placements indicate solid, regionally meaningful infusion volume but not dominant national market share.

    The practice maintains relatively high outpatient E/M intensity for established visits: 99214 appears prominently with 718 claims and $60.3K revenue, and it ranks #24838 of 479517 providers nationally (95th percentile), described in the source as "notably above typical national volume for this code." This suggests a patient panel that requires moderate-complexity management visits in addition to infusion services.

    Several administration and chemotherapy-related add-on codes appear at typical national volumes (96365, 96413, 96415), supporting that infusion sessions and time-based chemotherapy/biologic administration contribute meaningfully to operations beyond drug acquisition. Those codes are consistent with routine initial infusion, ongoing infusion time, and additional infusion hours being billed as part of patient care workflows.

    Although this provider has meaningful activity in high-revenue biologic codes, many lower-revenue services (e.g., G0439 wellness visits, G0444 depression screening, routine venipuncture 36415) are at very low volumes compared with peers, indicating the practice may prioritize infusion/medication management over primary-preventive or screening services typically seen in general outpatient clinics. This profile reinforces the interpretation of a specialty infusion-focused rheumatology practice rather than a broad ambulatory generalist practice.

    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.

    17 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)15,380$30$507.4K
    J1602Injection, golimumab, 1 mg, for intravenous use34,710$10$347.1K
    J9312Injection, rituximab, 10 mg5,600$60$341.6K
    J1745Injection, infliximab, excludes biosimilar, 10 mg3,390$20$78K
    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…720$80$60.3K
    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.410$50$19.1K
    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…150$90$13.4K
    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…50$110$5.4K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…130$20$2.6K
    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…40$50$2.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012972010,880$30$443.6K
    J93122103,350$60$315.8K
    J160262013,150$10$266.8K
    J174517403,060$30$118.1K
    9641379160140$100$19.1K
    992143048,960100$80$13.9K
    G04391,6901,77060$110$10.2K
    992135,5888,73070$50$7K
    992041,3834,36030$100$4.8K
    2061063683060$40$4.6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard DivalerioMORheumatology Physician$1.4M$0
    Hashim RazaMOInternal Medicine Physician$339.1K$470
    Phillip BrickMOInternal Medicine Physician$206K$0
    Steven FernMOGastroenterology Physician$101.2K$0
    Meher MallickMONephrology Physician$88.9K$0
    Michael CannonMOFamily Medicine Physician$61K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Alternatives Missouri, Inc.MODevelopmentally Disabled Services Day Training Agency$0$48.8M
    Nextra Health, Inc.MODurable Medical Equipment & Medical Supplies$0$25.4M
    Support Innovations Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.8M
    Special School District Of St. Louis CountyMOLocal Education Agency (LEA)$0$4.8M
    Sona KamatMORheumatology Physician$4.1M$0
    Des Peres Eye Surgery Center, LLCMOAmbulatory Surgical Clinic/Center$3.5M$162.2K
    Family Hire LLCMOIn Home Supportive Care Agency$0$3.6M
    Lizette AlvarezMOPhysical Medicine & Rehabilitation Physician$1.3M$0
    Manchester Ambulatory Surgery Center LPMOAmbulatory Surgical Clinic/Center$848.9K$0
    Andrew KrainikMOClinical Cardiac Electrophysiology Physician$395.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Ying Du — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri