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    OpenPayerNPI Medicare & MedicaidJoseph Temming
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    Joseph Temming — Billing Profile & Reimbursement Data

    NPI 1407851215 · Crestview Hills, KY · Rheumatology Physician

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    Joseph Temming is a rheumatology physician provider located in Crestview Hills, Kentucky. This profile covers 12 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
    OrganizationJoseph Temming
    Address2616 Legends Way
    CityCrestview Hills
    StateKY
    ZIP41017
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 17, 2005

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in scope: lifetime Medicare revenue is $1.1M while there is no Medicaid billing on file, so Medicare represents the sole documented public-payer revenue stream and any payer-focused analysis should treat Medicaid exposure as absent. This concentration should be considered when assessing network risk or reimbursement sensitivity.

    Revenue is extremely concentrated in a narrow set of injectable biologic drugs: the precomputed top-3 Medicare codes account for 90.5% of total Medicare revenue, with J0129 alone representing 73.8% of Medicare revenue, J0717 12.7%, and J0897 3.9%. This indicates most billed dollars come from a small number of high-cost drug administrations rather than routine office visits.

    The code mix indicates an infusion/biologic administration practice model consistent with rheumatology-focused care: dominant J-codes (J0129 abatacept, J0717 certolizumab pegol, J0897 denosumab) combined with chemotherapy/infusion administration codes (96413, 96401) and some E/M codes (99214, 99213) suggest in-office biologic injections/infusions are the primary service line while evaluation-and-management visits are a secondary revenue source.

    For J0129 the provider is a high-volume national participant: J0129 is reported as $810.1K in revenue (73.8% of Medicare revenue) and ranks #89 of 1221 providers nationally (93rd percentile) with the plain-English label “notably above typical national volume for this code.” That ranking signals this provider is comparatively prominent in administering abatacept relative to peers.

    Other top drug codes show ordinary competitive standing: J0717 ($139.2K, 12.7% of Medicare revenue) ranks #587 of 848 (30th percentile) and J0897 ($43.3K, 3.9% of Medicare revenue) ranks #5603 of 10057 (43rd percentile), both described as typical or unremarkable volumes. These placements imply the provider’s national prominence is concentrated specifically on J0129 rather than across multiple biologics.

    Evaluation-and-management and administration CPTs contribute only a small share of revenue compared with drug codes: 99214 accounts for $40.5K (3.7% of Medicare revenue) and 99213 $3.8K (0.3% of Medicare revenue), while infusion administration codes such as 96413 ($39.7K, 3.6%) and 96401 ($10.9K, 1.0%) are present but secondary. This split highlights a service model where drug product and its in-office administration drive economics more than routine office visit billing.

    The provider’s NPI was enumerated on 2005-06-17 (~21 years ago), indicating long tenure in Medicare billing; that longevity supports interpreting current high-volume J0129 activity as an established practice pattern rather than a short-term spike. Historical presence may matter for competitors and payers evaluating continuity of care and contract negotiations.

    Operational and payer-risk implication: because a single code (J0129) dominates Medicare revenue (73.8%) and the top three codes together account for 90.5% of Medicare revenue, the provider’s financial performance is sensitive to changes in reimbursement, formularies, or supply for those specific biologics. Analysts and contract managers should monitor policy or pricing changes affecting J0129, J0717, and J0897 when assessing revenue risk and negotiating coverage or site-of-care policies.

    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.

    12 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)23,830$30$810K
    J0717Injection, 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)34,800$1$139.2K
    J0897Injection, denosumab, 1 mg2,280$20$43.3K
    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…470$90$40.5K
    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…430$90$39.7K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.210$50$10.9K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…90$70$6.6K
    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…60$60$3.8K
    J1040Injection, methylprednisolone acetate, 80 mg140$10$1.3K
    20610In 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…10$50$640

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01293309,700$30$415.4K
    J0717193046,400$1$288.1K
    J089737802,280$20$59.6K
    96413650100$90$16.7K
    96401820200$50$14.3K
    992146807,230110$70$14.1K
    992134,2867,25080$50$7.7K
    2061061864080$40$6.6K
    20611157040$70$4.2K
    J10403825030$10$820

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kerrin BurteKYRheumatology Physician$1.1M$0
    Liza VargheseKYRheumatology Physician$1M$0
    Christopher ColglazierKYRheumatology Physician$923.6K$0
    Rebecca CallisKYRheumatology Physician$631.5K$0
    Michael WallsKYInterventional Pain Medicine Physician$299.2K$0
    Nichole ScherpenbergKYPhysical Therapist$55.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$41.7K$188.3M
    Transitions, Inc.KYSubstance Abuse Rehabilitation Facility$0$31.3M
    Compass Emergency Physicians PscKYEmergency Medicine Physician$0$28.8M
    Bluegrass Behavioral Health Group, LLCKYBehavior Analyst$0$23.7M
    Redwood School And Rehabilitation CenterKYChild Intellectual and/or Developmental Disabilities Respite Care$0$12M
    Radiology Associates Of Northern Kentucky, PLLCKYDiagnostic Radiology Physician$0$9.4M
    Orthocincy Orthopaedics & Sports Medicine PscKYOrthopaedic Surgery Physician$0$9.4M
    Redwood School And Rehabilitation CenterKYCommunity Health Clinic/Center$0$9.2M
    Interim Healthcare Of Cincinnati, IncKYHome Health Agency$0$7.9M
    New Perceptions IncKYDevelopmentally Disabled Services Day Training Agency$0$6.5M

    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. Kentucky Distribution
    Joseph Temming — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky