Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Montana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jacob Opfer (NPI 1790042331)

Field	Value
Entity Type	Individual
Organization	Jacob Opfer
Address	925 Highland Blvd Ste 1100
City	Bozeman
State	MT
ZIP	59715
Taxonomy	Surgery Physician
NPI Enumerated	April 20, 2012

Payer Source	Total Paid
Medicare	$16.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	20	$370	$6.3K
99204	The provider sees a new 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 provider…	30	$110	$2.7K
99203	The provider sees a new 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 provider…	40	$60	$2.2K
99205	The provider sees a new 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 provider…	20	$150	$2.2K
99215	The 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…	10	$120	$1.5K
99214	The 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…	10	$70	$1K
99213	The 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…	10	$50	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Jacob Opfer — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,761	1,810	100	$70	$12.4K
99215	714	780	40	$100	$7.9K
99213	1,721	1,730	90	$50	$7.2K
49650	6	10	20	$380	$6.8K
99205	228	300	30	$140	$5.2K
99204	445	780	30	$100	$4.8K
99203	317	700	30	$70	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Valente	MT	Emergency Medicine Physician	$34.8K	$289.5K
Abhijit Shah	CT	Diagnostic Radiology Physician	$216.7K	$14.8K
Benjamin Smith	CA	Orthopaedic Surgery of the Spine Physician	$209.6K	$0
Nirav Patel	CT	Diagnostic Radiology Physician	$195.2K	$0
Waring Trible	MT	Gastroenterology Physician	$115.1K	$0
Andrew Gentry	MT	Gastroenterology Physician	$113.4K	$0
Peter Walsh	MT	Gastroenterology Physician	$99.8K	$0
Jim Schwaiger	SD	Diagnostic Radiology Physician	$88.6K	$0
Jason Himmel	MT	Diagnostic Radiology Physician	$87.3K	$0
Julie Topping	MT	Internal Medicine Physician	$83K	$0

Jacob Opfer — Billing Profile & Reimbursement Data

Sign up for Jacob Opfer — Billing Profile & Reimbursement Data policy alerts

Jacob Opfer — Billing Profile & Reimbursement Data

Sign up for Jacob Opfer — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References