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 Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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.

Jennifer Malin (NPI 1316997984)

Field	Value
Entity Type	Individual
Organization	Jennifer Malin
Address	4212 W Congress St Ste 2300a
City	Lafayette
State	LA
ZIP	70506
Taxonomy	Rheumatology Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

Provider is effectively single‑payer: lifetime Medicare revenue is $1.7M while Medicaid revenue is none (no Medicaid billing on file), so the practice’s revenue base appears to rely almost entirely on Medicare patients and payer relationships. This concentration means any changes to Medicare reimbursement or patient mix could materially affect the practice’s financials.

Revenue is highly concentrated in a small set of biologic/infusible drug codes: the top 3 Medicare codes (J0717, J0129, J3262) account for 71.7% of the provider’s total Medicare revenue. Those three codes individually account for $549K (32.5%), $424.2K (25.1%), and $238K (14.1%) of Medicare revenue respectively, indicating the practice’s economics are driven by in‑office drug administration.

Clinical/service‑line footprint is consistent with an infusion‑capable rheumatology practice: heavy billing for injectable biologics such as J0717, J0129, and J3262 plus denosumab (J0897 $193.3K, 11.4%) suggests routine in‑office administration of high‑cost specialty drugs and ongoing disease‑modifying therapy management. The presence of procedure and lab codes (e.g., 77080 DXA, CMP 80053, CBC 85025, CRP 86140) supports a longitudinal rheumatology care model with onsite monitoring and BMD assessment.

Operational capability appears to include drug administration beyond typical clinic visits: the practice reports 834 claims for 96401 with $42.5K revenue (2.5%) and 331 claims for 96413 with $30.5K revenue (1.8%), and 96401 is flagged as notably above typical national volume (97th percentile). That combination of J‑codes plus chemotherapy/administration codes indicates an infusion suite or staff certified to administer parenteral therapies routinely.

Competitive standing on leading biologics is mixed: J0717 ranks #78 of 848 providers nationally (91th percentile; typical, unremarkable volume for this code), J0129 ranks #342 of 1221 (72th percentile; typical, unremarkable volume), and J3262 ranks #243 of 618 (61th percentile; typical, unremarkable volume). These positions suggest the provider is a solid, mid‑level national participant for certain biologics rather than a dominant national outlier.

Billing mix shows unusually high E/M intensity for established visits: 99214 accounts for 1.4K claims and $112.8K (6.7%) of Medicare revenue and is labeled an extreme outlier (ranks #4551 of 479517 providers nationally; 99th percentile). This elevated 99214 volume implies either a high clinic visit complexity and throughput or coding patterns that favor higher‑level established patient encounters.

The provider presents a mature enrollment history with a long tenure: NPI enumerated 2006-05-12 (~20 years ago), indicating a stable presence in the market. Given this longevity combined with a Medicare‑centric revenue stream and in‑office biologic administration, the practice profile is that of an established rheumatology practice focused on specialty drug delivery to Medicare beneficiaries.

Medicare: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0717	Injection, certolizumab pegol, 1 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)	137,260	$1	$549K
J0129	Injection, 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)	12,480	$30	$424.1K
J3262	Injection, tocilizumab, 1 mg	47,600	$10	$238K
J0897	Injection, denosumab, 1 mg	10,740	$20	$193.3K
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…	1,390	$80	$112.8K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	830	$50	$42.5K
96413	Chemotherapy 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…	330	$90	$30.5K
99204	The 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…	130	$110	$14K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	1,180	$10	$11.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,380	$10	$11K

Showing 1–10 of 38

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Jennifer Malin — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

38 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	5	10	9,490	$30	$506.1K
J3262	4	10	55,770	$1	$329.7K
J0717	1	10	55,200	$1	$263K
J0897	8	70	3,120	$20	$105.6K
96413	17	70	140	$90	$22.8K
99214	67	6,670	110	$80	$16.5K
96401	4	50	130	$50	$12.9K
99213	1,765	6,060	70	$50	$8.1K
84443	256	300	120	$20	$5.1K
82306	78	200	60	$30	$5.1K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsuhn Billing LLC	LA	Multi-Specialty Clinic/Center	$0	$45.7M
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Lewis Murray	LA	Ophthalmology Physician	$775.2K	$610.9K
Robert Blem	LA	Ophthalmology Physician	$1.2M	$93.6K
James Lipstate	LA	Rheumatology Physician	$1.2M	$0
Ankur Lodha	LA	Interventional Cardiology Physician	$1.2M	$0
Eric Reish	LA	Ophthalmology Physician	$975.5K	$106.9K
Agostino Ingraldi	LA	Interventional Cardiology Physician	$981.3K	$0
Fernando Ruiz	LA	Interventional Cardiology Physician	$871.4K	$0
Jacque Noel	LA	Gastroenterology Physician	$804.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospital & Clinics, Inc.	LA	General Acute Care Hospital	$0	$60.9M
Complete Home Health, Inc.	LA	Home Health Agency	$0	$57.4M
Share Care Usa	LA	Developmentally Disabled Services Day Training Agency	$0	$27.4M
Alternative Home Care Specialists, Inc.	LA	Personal Care Attendant	$0	$21.9M
Eckerd Youth Alternatives , Inc. Dba Eckerd Connects	LA	Case Management Agency	$0	$17.7M
Cadence Of Acadiana, Inc.	LA	Case Management Agency	$0	$14.1M
Lafayette Association For Retarded Citizens, Inc.	LA	Respite Care	$0	$12.4M
University Hospital & Clinics, Inc.	LA	Anesthesiology Physician	$0	$12.1M
Aa Angel Care Inc	LA	Early Intervention Provider Agency	$0	$11.8M
Congress Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.4M

Jennifer Malin — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References