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    OpenPayerNPI Medicare & MedicaidJuli Ackerman
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    Juli Ackerman — Billing Profile & Reimbursement Data

    NPI 1619292927 · Sheridan, WY · Internal Medicine Physician

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    Juli Ackerman is a internal medicine physician provider located in Sheridan, Wyoming. This profile covers 24 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
    OrganizationJuli Ackerman
    Address1333 W 5th St, Ste 112
    CitySheridan
    StateWY
    ZIP82801
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 30, 2010

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

    Payer SourceTotal Paid
    Medicare$264.6K
    Medicaid$0

    Key Findings

    This provider’s code mix (J0897, 99214, G0439 as the top three Medicare revenue drivers) is consistent with an internal medicine primary-care operation that delivers in-office biologic injections, manages established patients at moderate-to-high complexity, and performs preventive Annual Wellness Visits with a personalized prevention plan. The presence of vaccine codes (90677, 90694, 91322, G0008, G0009) and injectable/infusion codes (J0897, 96372) further supports a practice workflow that combines longitudinal chronic-disease management with in-office administration of drugs and vaccines.

    Revenue is highly concentrated in a small set of services: the top three Medicare codes account for 67.8% of this provider’s total Medicare revenue. Specifically, J0897 represents 26.9% of Medicare revenue, 99214 represents 25.1%, and G0439 represents 15.8% of Medicare revenue, which means a material share of the $264.6K lifetime Medicare revenue depends on these few services.

    This profile is effectively single-payer: lifetime Medicare revenue is $264.6K and there is no Medicaid billing on file. The absence of Medicaid billing suggests the provider’s Medicare business is not balanced by state-plan volume, a factor that could affect network negotiations, referral patterns, and vulnerability to Medicare reimbursement changes.

    On competitive standing, the provider is notably above typical national volume for office E/M and wellness visits: 99214 ranks #23474 of 479517 providers nationally (95th percentile; notably above typical national volume) and G0439 ranks #3264 of 105855 providers nationally (97th percentile; notably above typical national volume). By contrast, J0897 (denosumab) ranks #3548 of 10057 (64th percentile; typical, unremarkable volume), indicating the practice is a strong national outlier on E/M and AWV volumes but only a modest participant for denosumab injections relative to peers.

    Operationally, the provider reports high use of anticoagulation management and basic coagulation testing alongside E/M activity: 93793 (INR review/interpretation) appears with 467 claims (rank #408 of 4137, 90th percentile; typical, unremarkable volume) and 85610 (prothrombin time) appears with 486 claims (rank #629 of 9567, 93th percentile; typical, unremarkable volume). These patterns are consistent with a panel that includes patients on chronic anticoagulation requiring frequent monitoring and dose management within the office.

    Preventive care and immunization services form a meaningful revenue component beyond the top three codes: 90677 (20‑valent pneumococcal vaccine) generated $22.9K (8.6% of Medicare revenue) and ranks #1553 of 52451 providers nationally (97th percentile; typical, unremarkable volume). The combination of high AWV volume (G0439) and above-typical pneumococcal vaccination suggests prevention-focused workflows that are likely important to the practice’s patient retention and quality measures.

    The provider has long tenure in the Medicare program, with NPI enumeration on 2010-03-30 (~16 years ago), but overall lifetime Medicare revenue of $264.6K indicates a relatively small-scale Medicare practice. That combination — established enrollment duration with modest cumulative Medicare receipts — is consistent with a solo or small-group primary care clinician whose Medicare-facing activity concentrates heavily on a handful of visit- and procedure-level 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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg3,960$20$71.3K
    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…740$90$66.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit330$130$42K
    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…450$60$26.4K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…80$280$22.9K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…100$80$7.9K
    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…50$140$6.1K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.30$140$3.9K
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…470$10$3.7K
    G0008Administration of influenza virus vaccine120$20$2.6K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089710501,800$20$51.1K
    9921432780100$80$14.8K
    91322558080$140$13.6K
    G0439817070$120$13.1K
    9921374850110$60$9.9K
    90677511020$280$8.9K
    992159722040$120$8.3K
    90694156070$70$6.4K
    9048081110100$30$4K
    206108112060$50$3.8K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Stacey WellsAKRadiation Oncology Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Normative Services, Inc.WYEmotionally Disturbed Childrens' Residential Treatment Facility$0$8.5M
    Lgbtq TelepsychiatryWYPsychiatric/Mental Health Nurse Practitioner$0$3.9M
    Rehabilitation Enterprises Of Northeastern WyomingWYClinical Psychologist$0$3.5M
    Northeast Wyoming Pediatric Associates, P.C.WYPediatrics Physician$0$3.2M
    Gillette Pediatric Dentistry LLCWYPediatric Dentistry$0$2.9M
    Eagle Ridge Rehabilitative ServicesWYCase Management Agency$0$2.6M
    David BaileyWYPediatric Dentistry$0$2.6M
    Sensational Kids, LLCWYPediatric Occupational Therapist$0$2.1M
    Memorial Hospital Of Sheridan CountyWYGeneral Acute Care Hospital$0$989.7K
    Linda GarretsonWYDevelopmentally Disabled Services Day Training Agency$0$989.3K

    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. Wyoming Distribution
    Juli Ackerman — 6 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming