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    OpenPayerNPI Medicare & MedicaidJamie Odden
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    Jamie Odden — Billing Profile & Reimbursement Data

    NPI 1427588698 · Albuquerque, NM · Retina Specialist (Ophthalmology) Physician

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    Jamie Odden is a retina specialist (ophthalmology) physician provider located in Albuquerque, New Mexico. This profile covers 14 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
    OrganizationJamie Odden
    Address4411 The 25 Way Ne Ste 325
    CityAlbuquerque
    StateNM
    ZIP87109
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 19, 2017

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

    Payer SourceTotal Paid
    Medicare$605.1K
    Medicaid$0

    Key Findings

    This profile is effectively single‑payer: total Medicare revenue is $605.1K and there is no Medicaid billing on file. The absence of any Medicaid claims means payer mix is heavily concentrated on Medicare beneficiaries and the practice lacks state‑program diversification.

    Revenue is highly concentrated in three injection/drug codes: J2777 ($295.8K, 48.7%), J2778 ($116.3K, 19.2%), and J0178 ($90K, 14.8%), with the precomputed top‑3 share totaling 82.7% of Medicare revenue. This concentration indicates that a small set of high‑cost biologic injections drive the vast majority of the provider’s Medicare receipts.

    The code mix and volumes point to an interventional retina practice whose principal service line is intravitreal pharmacotherapy. High counts for drug injection codes (J2777: 10.2K claims; J2778: 718 claims; J0178: 132 claims) and a procedural intravitreal injection code (67028: 322 claims, $31.2K) together indicate the operation is centered on office‑based retinal injections rather than broad general ophthalmology services.

    Competitive standing by code is broadly “typical” rather than dominant: J2777 ranks #1000 of 2039 providers (51th percentile; typical, unremarkable volume), J2778 ranks #561 of 1208 (54th percentile; typical, unremarkable volume), and J0178 ranks #2859 of 3204 (10th percentile; typical, unremarkable volume). In plain terms, the provider shows modest, peer‑level utilization of faricimab and ranibizumab and comparatively lower utilization of aflibercept versus national peers.

    Ancillary diagnostics and office E/M activity support the injection practice but represent a much smaller share of revenue. Retina imaging 92134 appears frequently (373 claims, $11.2K, 1.8% of revenue) and ranks #4255 of 26868 providers (84th percentile; typical, unremarkable volume), while comprehensive established visits 92014 account for 249 claims ($22.7K, 3.7%), indicating imaging and follow‑up visits are present but not the primary revenue drivers.

    There are a few statistical rank contrasts worth noting: J7312 (112 claims, $16.9K, 2.8%) is reported at #469 of 492 providers (3th percentile; typical, unremarkable volume), placing this implant service at a lower national rank even though it contributes a measurable revenue slice. Conversely, 92134’s 84th percentile ranking suggests retinal imaging use is relatively strong versus peers, underscoring a focused retina service mix.

    Operational tenure is established: the NPI was enumerated on 2017-06-19 (~9 years ago), which supports interpretation of these billing patterns as the output of an ongoing retina specialty practice rather than a new entrant. The combination of tenure, concentrated injection revenue, and supporting imaging/visit codes suggests steady specialty operations centered on intravitreal therapy.

    From a payer‑strategy and contracting perspective, the provider’s exposure is concentrated in high‑cost injectable biologics paid through Medicare (82.7% of revenue from the top three injection/drug codes). That concentration creates sensitivity to reimbursement changes or utilization shifts for J2777, J2778, and J0178 and implies limited buffer from Medicaid or alternative payer streams due to no Medicaid billing on file.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg10,200$30$295.8K
    J2778Injection, ranibizumab, 0.1 mg720$160$116.3K
    J0178Injection, aflibercept, 1 mg130$680$90K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.320$100$31.2K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…250$90$22.7K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg110$150$16.9K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.370$30$11.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$110$6.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$180$5.3K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…20$160$3.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017814201,100$690$816.1K
    J2777102017,340$30$653.4K
    J2778610720$180$247.3K
    670281430390$90$71.6K
    J7312710310$150$50.2K
    6704231030$980$31.3K
    9201461180130$70$18.5K
    6711311020$900$14.4K
    992142,0542,70090$70$12.9K
    992131,9472,44060$50$7.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Presbyterian Healthcare ServicesNMGeneral Acute Care Hospital$0$345.3M
    Presbyterian Healthcare ServicesNMInternal Medicine Physician$0$240.8M
    Centra Medical Group, LLCVAFamily Medicine Physician$0$60.1M
    Presbyterian Healthcare ServicesNMRural Acute Care Hospital$0$47.6M
    Eye Associates Of New Mexico LtdNMOphthalmology Physician$0$46.9M
    Presbyterian Healthcare ServicesNMRural Acute Care Hospital$0$40.9M
    Presbyterian Healthcare ServicesNMCritical Access Hospital$0$33.1M
    Presbyterian Healthcare ServicesNMGeneral Acute Care Hospital$0$21.6M
    Presbyterian Healthcare ServicesNMCritical Access Hospital$0$20.6M
    Presbyterian Healthcare ServicesNMCritical Access Hospital$0$8.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heritage Home Healthcare Services, Inc.NMHome Health Agency$0$141.5M
    Home Medical Equipment Specialists LLCNMDurable Medical Equipment & Medical Supplies$0$100M
    The New Beginnings LLCNMAdult Day Care Clinic/Center$0$85.1M
    We Care Agency, Inc.NMIn Home Supportive Care Agency$0$60.1M
    Lovelace Health System, LLCNMGeneral Acute Care Hospital$0$57.7M
    Adelante Development Center, Inc.NMPersonal Care Attendant$0$57M
    Southwest Labs LLCNMClinical Medical Laboratory$1.1M$41.5M
    Southwest Medical Associates, LLCNMGeneral Practice Physician$0$41.4M
    Tspc-nm, LLCNMNursing Care Agency$0$28.9M
    Radiology Associates Of Albuquerque, PANMDiagnostic Radiology Physician$0$25.4M

    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. New Mexico Distribution
    Jamie Odden — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico