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    OpenPayerNPI Medicare & MedicaidJennifer Eaton
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    Jennifer Eaton — Billing Profile & Reimbursement Data

    NPI 1598051104 · Saint Albans, VT · Body Imaging Physician

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    Jennifer Eaton is a body imaging physician provider located in Saint Albans, Vermont. This profile covers 58 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJennifer Eaton
    Address133 Fairfield St
    CitySaint Albans
    StateVT
    ZIP05478
    TaxonomyBody Imaging Physician
    NPI EnumeratedJune 22, 2011

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

    Payer SourceTotal Paid
    Medicare$232K
    Medicaid$72.8K

    Key Findings

    Provider profile and tenure: JENNIFER EATON is a Body Imaging Physician enumerated since 2011-06-22 (approximately 15 years), indicating an established practice footprint in SAINT ALBANS, VT. The taxonomy and long NPI tenure are consistent with sustained imaging service delivery rather than a newly established or transient clinic.

    Payer scale and mix: Lifetime Medicare revenue for this provider is $232K compared with lifetime Medicaid revenue of $72.8K, so Medicare represents the larger share of billed revenue. Both payers contribute meaningfully, but Medicare is the dominant payer by absolute dollar volume in the available lifetime totals.

    Revenue concentration (Medicare): The provider’s Medicare revenue is highly concentrated in a small set of services — the top 3 Medicare codes account for 63.1% of Medicare revenue. That concentration underscores a focused service line where a few imaging procedures drive the majority of Medicare billing.

    Revenue concentration (Medicaid): Medicaid revenue is even more concentrated, with the top 3 Medicaid codes accounting for 82.7% of Medicaid revenue. This indicates that a very small number of procedures produce the bulk of Medicaid revenue and points to a narrow set of service offerings to the Medicaid population.

    Primary service lines and operational implications: The code mix shows heavy reliance on mammography-related services (77067 and 77063) plus cross-sectional imaging (notably 74177 CT abdomen/pelvis). Together, these suggest the practice operates primarily as a breast imaging/mammography center with additional CT capability for abdominal/pelvic diagnostics, meaning its clinical capacity, staffing, and equipment investments are likely concentrated in mammography and CT modalities.

    Medicare competitive standing for top mammography codes: For Medicare, the provider ranks in the 97th percentile nationally on both 77067 and 77063 (ranks #396 and #358 respectively), described as “notably above typical national volume.” This indicates regional or niche prominence in screening and tomosynthesis mammography relative to national peers, making the provider a major local supplier of those services.

    Medicare broader imaging participation: Outside the dominant mammography codes, the provider’s Medicare volumes for many CT, chest X-ray, and ultrasound codes sit in typical percentile ranges (mostly between ~58th–85th percentiles). These placements indicate competent, steady participation in general radiology and cross-sectional imaging but not national dominance across those ancillary modalities.

    Medicaid competitive standing: In-state Medicaid ranking for 77067 and 77063 is midpack (both listed as rank #6 of 13, 58th percentile), signaling that while the provider performs a high share of mammography services for Medicaid patients, it is not the top state provider. Medicaid volumes for CT head (70450) and CT abdomen/pelvis (74177) are present but rank lower in-state (31st–36th percentiles), suggesting more modest Medicaid market share for those CT services.

    Statistical outlier notes: The dataset explicitly labels the provider as “notably above typical volume” for Medicare mammography codes 77067 and 77063, and the ranking percentiles reinforce that characterization. For many other listed codes the summaries call the provider’s volumes “typical, unremarkable,” indicating no other strong statistical outliers beyond the mammography focus.

    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.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1,730$40$65.9K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…1,730$30$52K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.260$70$18.1K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.350$30$11K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.150$70$10.1K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…70$70$5.3K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.120$40$5.1K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…460$10$4.5K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.50$90$3.9K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…540$10$3.8K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067130450$40$19.4K
    77063130450$30$15K
    741771040140$60$10.9K
    7219781030$150$9.1K
    704501130190$30$7.7K
    7418352030$160$7.2K
    77092310700$10$5K
    71260183080$40$4.8K
    712501130100$40$4.1K
    71275103040$60$4K

    Showing 1–10 of 58

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…910$30$24.6K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…910$20$20.1K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.280$50$15.1K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.220$40$9.2K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…610$1$1.8K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…250$10$1.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Vermont median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1020710$40$85K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.1010580$20$37.9K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…610870$20$25.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1420630$10$21.6K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…610800$10$17.7K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…920600$1$14K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ketan PatelILDiagnostic Radiology Physician$253.7K$124.3K
    Stephen ZivinCTDiagnostic Radiology Physician$171.8K$120.9K
    Champlain ImagingVTDiagnostic Radiology Physician$0$278.7K
    Marc RoyILDiagnostic Radiology Physician$192.4K$70.5K
    Allan MalmedILDiagnostic Radiology Physician$193.2K$61.2K
    Vinay SinghILDiagnostic Radiology Physician$175.6K$76K
    Jonathan BarkerILDiagnostic Radiology Physician$206.9K$40.7K
    David DuboisMODiagnostic Radiology Physician$140.7K$100.5K
    Patrick MurphyILDiagnostic Radiology Physician$167.3K$44.1K
    Lindsey RabushkaILDiagnostic Radiology Physician$142.9K$65.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwestern Counseling & Support ServicesVTCommunity/Behavioral Health Agency$0$129.9M
    Northwestern Counseling & Support Services IncVTCommunity/Behavioral Health Agency$0$70.4M
    Amcare Medical Systems, Inc.VTLand Ambulance$576.2K$2.2M
    Baart Behavioral Health Services, Inc.VTSubstance Use Disorder Rehabilitation Clinic/Center$180.2K$2.5M
    Northwestern Medical Center, Inc.VTPediatrics Physician$0$1.4M
    Northwestern Medical Center, Inc.VTGeneral Acute Care Hospital$0$1.1M
    Remy Vallee Dmd IncVTDentist$0$1.1M
    Calm Reflections Psychotherapy, LLCVTClinical Social Worker$0$840.8K
    Northwestern Medical Center, Inc.VTUrgent Care Clinic/Center$0$757.2K
    Northern Valley Eyecare, Inc.VTOptometrist$0$703.1K

    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. Vermont Distribution
    Jennifer Eaton — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont
    Medicaid Revenue by Year vs. Vermont Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Jennifer Eaton — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont