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    OpenPayerNPI Medicare & MedicaidJameson Dupree
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    Jameson Dupree — Billing Profile & Reimbursement Data

    NPI 1760826895 · Lexington, KY · Ophthalmology Physician

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    Jameson Dupree is a ophthalmology physician provider located in Lexington, Kentucky. 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
    OrganizationJameson Dupree
    AddressUniversity Of Kentucky
    CityLexington
    StateKY
    ZIP40536
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 19, 2013

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider reports $1.5M in lifetime Medicare revenue and has no Medicaid billing on file, so their visible payer mix is effectively single-payer Medicare. The NPI enumeration date is 2013-04-19 (~13 years ago), indicating the provider has an established Medicare presence over a multi-year period.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes account for 78.1% of this provider's total Medicare revenue. Those top three codes are J0178 (38.6% of Medicare revenue, $582.4K), J2777 (24.9%, $375.8K), and 99214 (14.6%, $220.5K).

    The code mix strongly indicates a retina-focused ophthalmology practice that centers on intravitreal pharmacologic therapy and related diagnostics. High-revenue drug injection codes J0178 and J2777 plus procedure 67028 (intravitreal injection) are the largest revenue drivers, and substantial use of imaging codes such as 92134 and 92250 supports ongoing monitoring of retinal disease.

    99214 is an unusually large component of clinical visits: 2.4K claims producing $220.5K in revenue and ranked #610 of 479517 providers nationally (100th percentile; extreme outlier). This suggests the provider performs far above typical national volume of moderate-complexity established outpatient visits, consistent with frequent follow-up and management visits for chronic retinal conditions.

    Diagnostic imaging activity is also an outlier relative to peers. 92134 appears with 2.4K claims and $70.3K revenue and is ranked #707 of 26868 providers nationally (97th percentile; extreme outlier), and 92250 appears at high national percentiles as well, indicating above-typical use of OCT and fundus photography in clinical workflows.

    For the major injectable agents the provider is a modest to mid-level national participant rather than a dominant player. J0178 ranks #1457 of 3204 providers (54th percentile; typical) and J2777 ranks #809 of 2039 providers (60th percentile; typical), so injection volumes are significant for this practice but not extreme compared with the national pool of intravitreal injectors.

    Ancillary drug and implant services contribute measurable but secondary revenue. J7999 (compounded drug) accounts for $33.2K (2.2% of Medicare revenue) and ranks in the 88th percentile, while J7312 (dexamethasone intravitreal implant) contributes $28.8K (1.9%) — together these indicate supplemental revenue streams from compounded agents and implants without dominating the practice mix.

    The provider shows low national volumes for some other common E/M levels, which may reflect a focused service profile or coding patterns concentrated on specific visit intensities. Examples include 99213 (16 claims, $944, low national rank) and 99215 (13 claims, $1.7K, 5th percentile), implying relatively few low-complexity or highest-complexity billed visits compared with the broad national provider base.

    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
    J0178Injection, aflibercept, 1 mg840$690$582.4K
    J2777Injection, faricimab‑svoa, 0.1 mg12,960$30$375.8K
    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…2,420$90$220.5K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,040$90$93.9K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.2,420$30$70.3K
    J7999Compounded drug, not otherwise classified500$70$33.2K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg180$160$28.8K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…20$870$21K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$880$14.1K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…390$30$9.8K

    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
    J01782240870$690$858.5K
    J2777103011,040$30$399.1K
    670282050650$90$72.9K
    J7312710190$160$43.9K
    67036142020$910$28.1K
    6704141020$1,020$24.5K
    6704271020$1,170$23.4K
    67108131020$1,010$23.2K
    6682112516050$110$16.1K
    9921437,230110$70$14.1K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina And Vitreous Associates Of Kentucky PLLCKYRetina Specialist (Ophthalmology) Physician$0$13.3M
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    John KitchensKYRetina Specialist (Ophthalmology) Physician$3.5M$514.7K
    Todd PurkissKYRetina Specialist (Ophthalmology) Physician$3.9M$4.8K
    Matthew ColeTNOphthalmology Physician$3.3M$0
    Blake IsernhagenKYRetina Specialist (Ophthalmology) Physician$3.2M$120.3K
    Gregory LeeGAOphthalmology Physician$2.9M$6.3K
    Aaron RiccaKYRetina Specialist (Ophthalmology) Physician$2.5M$307.6K
    Belinda ShirkeyKYRetina Specialist (Ophthalmology) Physician$2.6M$3.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of KentuckyKYGeneral Acute Care Hospital$0$716.8M
    Kentucky Medical Services FoundationKYNurse Practitioner$0$12.5M
    University Of KentuckyKYDentist$0$4.3M
    Romulo AlbuquerqueKYRetina Specialist (Ophthalmology) Physician$3.8M$0
    Kentucky Medical Services FoundationKYPhysician Assistant$0$3.4M
    Kentucky Medical Services FoundationKYPediatrics Physician$0$3.3M
    Kentucky Medical Services FoundationKYClinical Pathology/Laboratory Medicine Physician$0$3M
    Elena SamoilovaKYAnatomic Pathology & Clinical Pathology Physician$110.7K$974.6K
    Sun YiKYRadiation Oncology Physician$646.6K$0
    Frances MartinKYUrology Physician$532.8K$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. Kentucky Distribution
    Jameson Dupree — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky