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    OpenPayerNPI Medicare & MedicaidAllison Dunne
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    Allison Dunne — Billing Profile & Reimbursement Data

    NPI 1487244422 · Platteville, WI · Physician Assistant

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    Allison Dunne is a physician assistant provider located in Platteville, Wisconsin. This profile covers 17 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
    OrganizationAllison Dunne
    Address1400 Eastside Rd
    CityPlatteville
    StateWI
    ZIP53818
    TaxonomyPhysician Assistant
    NPI EnumeratedJanuary 23, 2021

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider’s lifetime Medicare revenue is $1.4M and there is no Medicaid billing on file, so the clinical and financial footprint shown here is effectively single‑payer Medicare. The precomputed concentration metric indicates the top 3 Medicare codes by revenue account for 94.2% of this provider's total Medicare revenue, signaling a highly concentrated revenue base.

    Clinical/service mix is dominated by office‑administered injectable osteoporosis biologics and associated monitoring. The Medicare portfolio is led by J0897 (denosumab) with 62K claims, $18 avg paid/claim, and $1.1M revenue (83.1% of this provider's total Medicare revenue) and includes J3111 (romosozumab) with 16.4K claims and $131K revenue, plus a battery of bone/endocrine lab codes such as 82306 (622 claims, $18K revenue) and 83970 (187 claims, $7.5K revenue), consistent with a practice model focused on treatment plus laboratory follow‑up.

    Revenue concentration is extreme: a single drug code, J0897, generates $1.1M and 83.1% of Medicare revenue, and the top three codes together account for 94.2% of Medicare revenue. That level of concentration means the provider’s financial performance is highly dependent on continued high volumes and reimbursement for one or two injectable therapies.

    National competitive standing is bifurcated by code. For J0897 this provider ranks #12 of 10057 providers nationally (100th percentile; extreme outlier), indicating nationally exceptional volume for that drug; by contrast J3111 ranks #440 of 970 providers (54th percentile; typical) and many lab/E&M codes fall in typical or modest percentiles, so dominance is focused specifically on J0897.

    Procedural throughput supports the injection‑centric model: 96372 shows 1.2K claims, $9 avg paid/claim, $11.2K revenue and ranks #240 of 58224 providers (100th percentile; extreme outlier), indicating unusually high volumes of in‑office injections in addition to the large J0897 claim count. That combination of a high per‑code claim count for the drug plus elevated injection procedure volume suggests most biologic administrations occur onsite.

    The practice generates modest revenue from evaluation & management codes relative to drug and procedure revenue but maintains ongoing patient contact. E/M codes such as 99214 (216 claims, $16.2K revenue), 99215 (148 claims, $15.5K revenue), and 99213 (294 claims, $15.3K revenue) reflect regular office visits and monitoring visits that accompany the therapeutic injections and lab monitoring.

    Absence of Medicaid billing (no Medicaid billing on file) means this provider’s patient mix and reimbursement risk are concentrated in Medicare; there is effectively no in‑state Medicaid activity to diversify payer mix. For payers or competitors evaluating network coverage or market access, this indicates limited Medicaid exposure and a Medicare‑centric referral/revenue stream.

    The provider’s NPI was enumerated on 2021-01-23 (~5 years ago), so this pattern of very high injectable volumes and lab monitoring has emerged within a relatively short tenure. Rapid scaling to become an extreme outlier on J0897 in roughly five years is notable for capacity and operational focus on biologic administration and related monitoring services.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg62,040$20$1.1M
    J3111Injection, romosozumab-aqqg, 1 mg16,380$10$131K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…620$30$18K
    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…220$80$16.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…150$110$15.5K
    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…290$50$15.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,240$10$11.2K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.190$40$7.5K
    82310The lab analyst measures the calcium level, primarily on a serum sample.530$10$2.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…120$20$1.9K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J311151015,120$10$206.2K
    J08971602,220$20$69.3K
    83970112070$40$37.9K
    82306512020$30$13.1K
    992141,3609,80080$70$9.2K
    84403111070$20$7.2K
    992151033,32030$110$6.3K
    8005320945040$10$6.3K
    8444312233030$20$6.2K
    992136039,38060$50$4.7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Southwest Health Center, IncWICritical Access Hospital$225.5K$8.3M
    Mercy Medical Center-newtonIAGeneral Acute Care Hospital$0$3.6M
    Southwest Health Center, Inc.WIRural Health Clinic/Center$0$2.3M
    Christian SchultheisIAMedical Oncology Physician$1.5M$0
    Emily GuerardNVHematology & Oncology Physician$1.3M$0
    Ruqin ChenFLHematology & Oncology Physician$1M$0
    James HeunWIHematology & Oncology Physician$756.4K$0
    Robert HegemanWIMedical Oncology Physician$393.7K$0
    Trevor SchmitzIAOrthopaedic Surgery of the Spine Physician$391.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wal-mart Stores East LPWICommunity/Retail Pharmacy$159.6K$2.3K
    Joshua LindseyWIOrthopaedic Surgery Physician$154.3K$0
    Walgreen CoWIPharmacy$139.9K$7.6K
    Jeffrey WhiteWIFamily Medicine Physician$72.6K$0
    Terrence NortonWIPsychiatry Physician$55.8K$0
    Scott KjarWIFoot & Ankle Surgery Podiatrist$28K$0
    Jacob HiattWIFamily Medicine Physician$21.1K$0

    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. Wisconsin Distribution
    Allison Dunne — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin