Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jamie Birkelo (NPI 1295947158)

Field	Value
Entity Type	Individual
Organization	Jamie Birkelo
Address	1 S Park St
City	Madison
State	WI
ZIP	53715
Taxonomy	Physician Assistant
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicare	$80.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	6,280	$10	$43.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	270	$60	$15K
99214	The 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…	110	$90	$9.4K
J7324	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	80	$100	$8K
99213	The 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…	50	$60	$2.9K
99203	The provider sees a new 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 provider…	10	$80	$910
J1030	Injection, methylprednisolone acetate, 40 mg	80	$10	$460
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	30	$10	$270

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Jamie Birkelo — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7329	2	10	1,750	$10	$18.6K
99214	3,781	9,800	80	$70	$9.2K
J7324	6	20	70	$100	$7.6K
99213	5,453	9,380	60	$50	$4.7K
20610	25	810	40	$40	$3.1K
99203	2,513	2,820	30	$60	$2.4K
73564	272	480	40	$20	$1K
J1030	46	170	50	$10	$390

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrzej Jasek	IL	Rheumatology Physician	$1.6M	$4.9K
Saad Tariq	IL	Rheumatology Physician	$1.2M	$13.6K
Osmanuddin Ahmed	IL	Vascular & Interventional Radiology Physician	$1M	$38.8K
Zhe Liang	MI	Rheumatology Physician	$1M	$14.6K
John Nickless	IL	Sports Medicine (Family Medicine) Physician	$700K	$0
Vasili Karas	IL	Adult Reconstructive Orthopaedic Surgery Physician	$666.5K	$24.7K
Sarah Choxi	NY	Anesthesiology Physician	$652.9K	$0
Julia Bruene	IL	Family Medicine Physician	$489.1K	$136.4K
Frank Bohnenkamp	IL	Orthopaedic Surgery Physician	$602K	$0
Amritpal Anand	IL	Rheumatology Physician	$590.1K	$7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dean Health Systems, Inc	WI	Allergy & Immunology Physician	$0	$26.3M
Meriter Hospital, Inc.	WI	General Acute Care Hospital	$0	$25.5M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$14.7M
Ssm Health Care Of Wisconsin, Inc	WI	Clinical Medical Laboratory	$0	$6.4M
Madison Surgery Center, Inc.	WI	Ambulatory Surgical Clinic/Center	$3.6M	$549.2K
Ryan Bros Ambulance LLC	WI	Land Ambulance	$1.5M	$2.3M
Madison Emergency Physicians, Sc	WI	Emergency Medicine Physician	$0	$3.2M
Dean Health Systems, Inc.	WI	Ambulatory Surgical Clinic/Center	$2M	$856.3K
Emergency Medicine Associates Of Madison, Sc	WI	Emergency Medicine Physician	$0	$2.1M
Amol Kulkarni	WI	Ophthalmology Physician	$2.1M	$0

Jamie Birkelo — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References