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    OpenPayerNPI Medicare & MedicaidJulian Magadan
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    Julian Magadan — Billing Profile & Reimbursement Data

    NPI 1568660389 · Kansas City, MO · Rheumatology Physician

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    Julian Magadan is a rheumatology physician provider located in Kansas City, Missouri. This profile covers 46 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
    OrganizationJulian Magadan
    Address4330 Wornall Rd Ste 40
    CityKansas City
    StateMO
    ZIP64111
    TaxonomyRheumatology Physician
    NPI EnumeratedJuly 3, 2007

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    Provider profile and payer scale: JULIAN MAGADAN is a Rheumatology Physician in KANSAS CITY, MO with an NPI enumerated 2007-07-03 (~19 years ago). Lifetime public-payer revenue shows $1.7M in Medicare revenue and none for Medicaid, so all public claims on file come from Medicare and the provider is effectively single-payer in the public dataset.

    Revenue concentration in biologics: the top three Medicare revenue drivers are J9312, J0717, and J0129, which together account for 51.8% of this provider's total Medicare revenue. This high concentration indicates that a majority of Medicare billing is tied to a small set of biologic injectable products rather than broad procedural diversity.

    Business/service-line implications — infusion and biologic administration: the code mix is dominated by J‑codes for monoclonal antibodies and other biologics (examples include J9312, J0717, J0129, J3262, J1745, J1602), plus infusion/chemotherapy administration codes such as 96413, 96415, 96365, and 96366. This pattern is consistent with an office or clinic that provides on-site infusion/administration of disease-modifying biologics and performs the associated monitoring and visit workups typical of rheumatology practice.

    Competitive standing on top biologics: activity in leading biologic codes is generally “typical, unremarkable” nationally rather than dominant — J9312 ranks #60 of 317 providers nationally (81th percentile; typical, unremarkable volume), J0717 ranks #218 of 848 (74th percentile; typical, unremarkable volume), and J0129 ranks #650 of 1221 (47th percentile; typical, unremarkable volume). In short, the provider has meaningful volume in these drugs but does not appear to be a top national outlier among biologics administrators.

    Operational throughput — above-typical E/M and infusion administration: several non-drug codes show elevated percentile standing, indicating heavier clinic throughput. 99214 (731 claims, $64.3K revenue) ranks #23937 of 479517 providers (95th percentile; notably above typical national volume), 96415 (314 claims, $6.6K revenue) ranks in the 95th percentile (notably above typical), and 96372 (538 claims, $5.9K revenue) ranks in the 98th percentile (notably above typical), together suggesting substantial in-office visit volume and frequent administration events per session.

    Monitoring and lab activity consistent with chronic biologic management: the provider submits high counts for lab and monitoring panels used in rheumatology care, including 80053 (793 claims, $7.9K revenue; ranks #2075 of 26416, 92th percentile) and 86140 (777 claims, $3.9K revenue; ranks #300 of 4115, 93th percentile). These lab percentiles and claim counts support continuous monitoring of patients on immunomodulatory therapy, aligning with the heavy biologic/injection mix.

    Implications of single-payer public footprint: with $1.7M in Medicare revenue and no Medicaid billing on file, public-payer insight is limited to Medicare trends and the provider’s exposure to Medicaid populations cannot be assessed from these data. For payer strategy or network planning, expect negotiation and utilization patterns to be informed primarily by Medicare-era infusion and biologic reimbursement profiles rather than Medicaid benchmarks.

    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9312Injection, rituximab, 10 mg5,380$60$317.4K
    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)77,600$1$310.4K
    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)7,780$30$264.4K
    J3262Injection, tocilizumab, 1 mg39,640$10$198.2K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg4,310$40$155.2K
    J0897Injection, denosumab, 1 mg7,020$20$126.4K
    J1745Injection, infliximab, excludes biosimilar, 10 mg4,510$20$108.2K
    J1602Injection, golimumab, 1 mg, for intravenous use6,450$10$71K
    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…730$90$64.3K
    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…410$100$40K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0129142010,880$30$443.6K
    J93123103,350$60$315.8K
    J1602182013,150$10$266.8K
    J071751061,500$1$259.7K
    J326281040,980$1$236.8K
    J15698104,350$40$171.2K
    J174514403,060$30$118.1K
    J0897322102,400$20$82.4K
    9641324160140$100$19.1K
    992142948,960100$80$13.9K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher KoenigKSRheumatology Physician$2.3M$0
    Michael SmithCORheumatology Physician$2M$0
    Kalista EngelmanMORheumatology Physician$1.7M$0
    Tina ShahMORheumatology Physician$1.6M$0
    Kent HustonMORheumatology Physician$1.5M$0
    Shirley WangKSRheumatology Physician$1.2M$0
    Ann WarnerMORheumatology Physician$911.8K$0
    Travis SifersMOAllergy & Immunology (Internal Medicine) Physician$614.2K$0
    Jeremy SharpKSRheumatology Physician$433.9K$0
    Zachary JacobsMOAllergy & Immunology Physician$416.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Whole Person, Inc.MOIn Home Supportive Care Agency$0$203.1M
    Community Choice, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$19.6M
    St Lukes Hospital Of Kansas CityMOGeneral Acute Care Hospital$0$18.7M
    United Seating And Mobility LLCMODurable Medical Equipment & Medical Supplies$0$8.8M
    Midwest Home Health Care, Inc.MOHomemaker$0$4.3M
    Michael CassellMORetina Specialist (Ophthalmology) Physician$1.5M$0
    Hillary BownikMOGastroenterology Physician$959.9K$0
    Medical Plaza Imaging Associates, LLCMODiagnostic Radiology Physician$802.8K$129.4K
    Manuel CamejoMOOphthalmology Physician$924.9K$0
    Mark AllenMOGastroenterology Physician$853.1K$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. Missouri Distribution
    Julian Magadan — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri