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    OpenPayerNPI Medicare & MedicaidPortia Harris
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    Portia Harris — Billing Profile & Reimbursement Data

    NPI 1669662292 · Hattiesburg, MS · Rheumatology Physician

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    Portia Harris is a rheumatology physician provider located in Hattiesburg, Mississippi. This profile covers 26 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
    OrganizationPortia Harris
    Address104 Millsaps Dr
    CityHattiesburg
    StateMS
    ZIP39402
    TaxonomyRheumatology Physician
    NPI EnumeratedJuly 30, 2007

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    PORTIA HARRIS is a rheumatology physician in HATTIESBURG, MS with an NPI enumerated on 2007-07-30 (~19 years ago). Her lifetime Medicare revenue totals $1.2M and there is no Medicaid billing on file, making her practice effectively Medicare-only in the available datasets and concentrated on a single federal payer stream.

    This provider’s Medicare revenue is highly concentrated in biologic and injectable drug codes: the precomputed top 3 Medicare codes (J9312, J0129, J0897) account for 72.0% of this provider's total Medicare revenue. The single largest line item is J9312 with 5.3K claims and $339.2K revenue (28.4% of this provider's total Medicare revenue), followed by J0129 at $278K (23.3%) and J0897 at $241.9K (20.3%).

    The code mix points to an in-office/office-administered specialty drug and infusion operation typical of rheumatology practices: high-volume biologic drug codes such as J9312 (rituximab), J0129 (abatacept), J0897 (denosumab) and J3262 (tocilizumab) dominate revenue, and administration/infusion codes (96413, 96365, 96401, 96415) also appear on the profile. This pattern indicates on-site drug administration and associated staffing/medication inventory rather than a pure cognitive-only outpatient clinic.

    Competitive standing is mixed across the top drugs: J0897 ranks #666 of 10057 providers nationally (93th percentile) and therefore the provider sits at a relatively high national percentile for that drug, while J9312 ranks #61 of 317 (81th percentile) and J0129 ranks #607 of 1221 (50th percentile); the dataset labels these volumes as "typical, unremarkable volume" for the J93xx and J01xx drug codes even where percentile is high. In contrast, the evaluation-and-management code 99214 is a clear strength: 718 claims and $62.5K revenue (5.2% of total Medicare revenue) with a rank of #24838 of 479517 (95th percentile) and the profile explicitly notes this as "notably above typical national volume," signaling an active established-patient panel.

    Operationally, the provider bills many per-unit drug codes (for example J3262 shows 36.4K claims with $182K revenue, 15.3% of Medicare revenue) and several very high-count low-dollar drug entries (J0897 13.4K claims; J0129 8.2K claims), which is consistent with granular, unit-based billing for biologics. This unitized billing footprint implies dependency on drug reimbursement and dosing/billing granularity—changes to drug pricing or administration policy could materially affect the practice because drug codes drive the majority of revenue.

    Ancillary services and diagnostics appear across the profile but contribute modest share individually: common lab and procedure codes such as 36415 (871 claims, $7K revenue, 0.6%), 85025 (625 claims, $4.4K revenue, 0.4%), and point-of-care/CRP/ESR tests (86140, 85651) are present, indicating the clinic performs routine in-office monitoring and procedural support for the biologic/infusion business. These services supplement the drug-dominated revenue base rather than replace it.

    The absence of any Medicaid billing (dataset flag: "none below — this provider has no Medicaid billing on file") means the provider’s public-payer exposure is concentrated entirely in Medicare in this dataset, which has implications for network negotiations and population coverage assumptions; analysts should treat Medicaid-market share or state-level Medicaid competitive positioning as not applicable based on available records.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9312Injection, rituximab, 10 mg5,300$60$339.2K
    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)8,180$30$277.9K
    J0897Injection, denosumab, 1 mg13,440$20$241.9K
    J3262Injection, tocilizumab, 1 mg36,400$10$182K
    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…720$90$62.5K
    J3111Injection, romosozumab-aqqg, 1 mg3,780$10$30.2K
    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…200$80$17.1K
    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…170$50$8.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.870$10$7K
    96365The 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.120$40$4.8K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01296108,840$30$367.2K
    J326251055,080$1$299.4K
    J93122104,130$60$258.9K
    J3111111011,130$10$101.3K
    J0897101103,030$20$95.7K
    964132670100$80$22.6K
    992144514,110170$70$21.9K
    992131,3534,000100$50$10.3K
    96401306080$50$7.1K
    963752530300$10$4.3K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hattiesburg Clinic PAMSMulti-Specialty Clinic/Center$0$59.5M
    Hattiesburg Clinic PAMSPediatrics Physician$0$10.9M
    Hattiesburg Clinic PAMSPediatrics Physician$0$7.9M
    State Of Mississippi - University Of Mississippi Medical CenterMSCritical Access Hospital$0$7.5M
    Hattiesburg Clinic PAMSAmbulatory Surgical Clinic/Center$4.5M$2.4M
    Lowery A. Woodall Outpatient Surgery Facility, LLCMSAmbulatory Surgical Clinic/Center$446.4K$6.1M
    Hattiesburg Clinic PAMSClinical Medical Laboratory$2.2M$3.3M
    Hattiesburg Clinic, PAMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.3M
    Imad BitarMSRheumatology Physician$3M$0
    Hattiesburg Clinic PAMSObstetrics & Gynecology Physician$0$2.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wesley Health System LLCMSGeneral Acute Care Hospital$0$37.9M
    Aaa Ambulance ServiceMSLand Ambulance$5.2M$20.1M
    Wright LautenMSRetina Specialist (Ophthalmology) Physician$11.8M$20.3K
    Middleton & Belknap Pediatric Dentistry PLLCMSPediatric Dentistry$0$11.3M
    Metro Medical Supply Company LLCMSDurable Medical Equipment & Medical Supplies$0$10.2M
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$10.1M
    Wesley Physician Services LLCMSFamily Medicine Physician$0$8.2M
    Latonya HailesMSCommunity Health Worker$0$8M
    Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.MSOral and Maxillofacial Surgery (Dentist)$0$7.4M
    James HarrisMSPediatric Dentistry$0$7.2M

    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. Mississippi Distribution
    Portia Harris — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi