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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Joseph Poole (NPI 1457712549)

Field	Value
Entity Type	Individual
Organization	Joseph Poole
Address	1691 Galisteo St Ste D
City	Santa Fe
State	NM
ZIP	87505
Taxonomy	Nurse Practitioner
NPI Enumerated	March 16, 2016

Payer Source	Total Paid
Medicare	$554.4K
Medicaid	$0

Key Findings

This provider is effectively single‑payer at the claim level: lifetime Medicare revenue is $554.4K and there is no Medicaid billing on file. The absence of any Medicaid claims means analyses of Medicaid payer mix, state-level competition, or dual‑coverage patterns are not possible for this NPI and the practice’s revenue profile should be interpreted as Medicare‑dominated.

Revenue is highly concentrated in a small number of biologic drug codes: the precomputed top 3 Medicare codes by revenue (J0129, J1602, J3262) account for 75.7% of this provider's total Medicare revenue. The single largest line item is J0129, which represents $262.7K in revenue (46.5% of Medicare revenue), indicating the practice’s financial picture is heavily dependent on administration of that specific biologic.

The code mix and high-volume drug administration pattern point to an infusion/biologic service line: J0129 (abatacept), J1602 (golimumab), J3262 (tocilizumab) and Q5104 (infliximab‑abda biosimilar) together indicate routine administration of intravenous/subcutaneous biologic agents for autoimmune or inflammatory conditions. Supporting services and procedure codes such as 96365 (initial IV infusion), 96413/96415 (chemotherapy/infusion add-on) and multiple joint injection codes (20610, 20600, 20605) suggest an office‑based infusion and injection practice rather than predominantly inpatient or purely cognitive outpatient care.

Although drug administration dominates revenue, evaluation & management activity is also substantial: 99214 accounts for 906 claims and $64.3K in revenue (11.4% of Medicare revenue) and the provider ranks #14603 of 479517 providers nationally (97th percentile; notably above typical national volume for this code). This indicates the clinician provides a meaningful volume of mid‑level office visits in addition to infusion services, which may reflect ongoing management of patients receiving biologics.

Competitive standing across biologic codes is mixed: J0129 is a dominant revenue driver for this provider but ranks #656 of 1221 providers nationally (46th percentile; typical, unremarkable volume), while J1602 ranks #738 of 1041 (29th percentile; typical, unremarkable volume) and J3262 ranks #562 of 618 (9th percentile; typical, unremarkable volume). In short, the practice relies heavily on a small set of biologic administrations for revenue but is not a nationally dominant provider of these specific drugs by rank/percentile.

There are notable statistical signals in smaller‑ticket but high‑count items: J3301 appears with 1.9K claims and $1.9K revenue and ranks #1612 of 38702 providers nationally (96th percentile; notably above typical national volume for this code), which signals unusually high utilization of triamcinolone injections relative to peers even though per‑claim payments are low. That pattern—high claim count but low per‑claim payment—may reflect frequent office procedural work (joint or soft‑tissue steroid injections) bundled alongside infusion services.

Operationally, the presence of both infusion administration codes (96365) and multiple procedure codes for joint/bursa injections (20610, 20600, 20605, 20526) supports a hybrid model: the provider appears to deliver both injectable biologic therapy and office‑based musculoskeletal procedures. This mix suggests a clinical focus on chronic inflammatory conditions with on‑site drug administration and episodic procedural management, consistent with advanced practice provider work in outpatient rheumatology or musculoskeletal clinics.

The provider has been enumerated for approximately a decade (NPI enumerated 2016-03-16 (~10 years ago)), which provides enough tenure to have established patterns of recurring biologic administration. Given the concentration of Medicare revenue in a few drug codes and the lack of Medicaid activity, payer contracting, billing workflows, and drug‑procurement/administration logistics will be the key business levers shaping future revenue stability for this NPI.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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)	7,730	$30	$262.6K
J1602	Injection, golimumab, 1 mg, for intravenous use	8,900	$10	$97.9K
J3262	Injection, tocilizumab, 1 mg	13,400	$10	$67K
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…	910	$70	$64.3K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	1,170	$30	$35.1K
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…	220	$50	$9.9K
96365	The 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.	200	$40	$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…	110	$40	$4.8K
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…	60	$80	$4.7K
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	70	$30	$2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Joseph Poole — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	7	10	9,930	$30	$358.6K
J1602	3	10	8,900	$10	$132.4K
J3262	3	10	19,800	$1	$117.2K
Q5104	3	10	2,040	$30	$55.9K
96413	39	40	170	$90	$17.7K
99214	50	2,700	90	$70	$12.9K
99213	857	2,440	60	$50	$7.3K
96365	9	40	80	$40	$6K
20610	34	210	50	$50	$4.9K
20605	20	40	40	$40	$3K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sky Lakes Medical Center Inc	OR	General Acute Care Hospital	$0	$30.3M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$18.2M
La Familia Medical Center	NM	Federally Qualified Health Center (FQHC)	$0	$9.1M
La Familia Medical Center	NM	Federally Qualified Health Center (FQHC)	$0	$4.7M
Hillary Norton	NM	Rheumatology Physician	$1.5M	$0
Mihaela Matei	CO	Hematology & Oncology Physician	$1.3M	$0
David Greenberg	OR	Diagnostic Radiology Physician	$997.3K	$0
Steven Michel	OR	Diagnostic Radiology Physician	$541.9K	$0
Laurie Martin	OR	Diagnostic Radiology Physician	$437.3K	$0
Matthew Bentz	OR	Diagnostic Radiology Physician	$403.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Hospital	NM	General Acute Care Hospital	$0	$46.5M
New Mexico Treatment Services LLC	NM	Community/Behavioral Health Agency	$291.6K	$35.3M
Professional Home Health Care De Santa Fe Y Los Alamos	NM	Home Health Agency	$0	$32.5M
State Of New Mexico	NM	Public Health or Welfare Agency	$0	$15.9M
Whole Child Dental, LLC	NM	Pediatric Dentistry	$0	$13.6M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$13.3M
Santa Fe Indian Hospital	NM	Federal Public Health Clinic/Center	$0	$12.5M
Noesis Integrative Health Inc	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.3M
Healthfront PC	NM	Emergency Medicine Physician	$0	$8.9M
Hero Dental Of Santa Fe PC	NM	General Practice Dentistry	$0	$8.3M

Joseph Poole — 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