Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Jacobson
    Ask Trek AI about this page

    Robert Jacobson — Billing Profile & Reimbursement Data

    NPI 1790759728 · Rochester, MN · Pediatrics Physician

    Customize your policy alerts

    Sign up for Robert Jacobson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Robert Jacobson is a pediatrics physician provider located in Rochester, Minnesota. This profile covers 7 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Jacobson
    Address200 1st St Sw
    CityRochester
    StateMN
    ZIP55905
    TaxonomyPediatrics Physician
    NPI EnumeratedFebruary 15, 2006

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

    Payer SourceTotal Paid
    Medicare$975.6K
    Medicaid$0

    Key Findings

    Provider profile and tenure: ROBERT JACOBSON is listed as a Pediatrics Physician with an NPI enumerated on 2006-02-15 (~20 years ago), indicating long-standing Medicaid/Medicare enrollment and likely sustained practice presence in ROCHESTER, MN. This tenure supports the high cumulative billing totals visible in the Medicare data.

    Payer mix and scale: lifetime Medicare revenue on file is $975.6K while there is no Medicaid billing on file, so this provider’s publicly visible claims activity is effectively single‑payer and heavily concentrated in Medicare. Analysts should treat Medicaid-related network or volume assumptions as unsupported by the available claims.

    Medicare revenue concentration: the provider’s top three Medicare codes account for 88.3% of total Medicare revenue. Those three codes are 91322 ($489.8K, 50.1%), 90662 ($236.1K, 24.2%), and 90480 ($137K, 14.0%), showing an extremely concentrated revenue mix driven by a small set of vaccine administration and vaccine product codes.

    Business/service-line implications: the dominant codes (91322, 90662, 90480 and ancillary administration code G0008) all describe vaccine products and vaccine administration, which indicates the practice operation is heavily focused on immunization delivery—particularly COVID‑19 and influenza vaccination—rather than broader procedural or chronic‑care billings. High claim counts tied to these services (e.g., 3.4K claims for 91322 and 3.3K claims for 90662) reinforce that immunization throughput is the primary service line.

    Competitive standing on key codes: this provider is an outlier nationally for the primary vaccine codes—91322 ranks #17 of 29357 providers nationally (100th percentile; extreme outlier), 90662 ranks #16 of 70752 providers nationally (100th percentile; notably above typical national volume), and 90480 ranks #23 of 46950 providers nationally (100th percentile; notably above typical national volume). Those ranks indicate the provider is a major national volume outlier on COVID‑19 and influenza vaccine billing relative to peers, rather than a modest local participant for those services.

    Supplementary code mix signals: additional Medicare entries such as G0008 (3.4K claims, $102.7K, 10.5% of Medicare revenue; ranks #24 of 119096 providers nationally, 100th percentile; notably above typical) and lower‑revenue entries like 0124A (121 claims, $4.7K, 0.5%; ranks #762 of 19445 providers nationally, 96th percentile; typical) and 0134A (90 claims, $3.5K, 0.4%; ranks #1376 of 15855 providers nationally, 91th percentile; typical) show a concentrated immunization profile with a few ancillary codes at typical volumes for those specific services. The presence of several vaccine product SKUs and administration codes, rather than evaluation & management or procedure codes, strengthens the interpretation of a vaccine‑centric workflow.

    Statistical outlier characterization and risk/attention for payers: several top codes are explicitly labeled in the source as extreme outlier or notably above typical national volume (e.g., 91322 marked "extreme outlier" and 90662/90480 marked "notably above typical"). For payer analytics and network assessment, these labels flag this provider as unusually high‑volume for vaccine administration compared with national peers and warrant attention for capacity planning, supply forecasting, and reconciliation of immunization program payments.

    Operational and contracting implications: given the $975.6K in Medicare revenue driven predominantly by a few vaccine codes (88.3% concentrated in the top 3), contracting teams should expect limited billing diversity and consider reimbursement models, vaccine supply arrangements, and quality metrics that reflect high immunization throughput rather than broad primary‑care visit mixes. The absence of Medicaid billing on file also means state Medicaid panels or capitated arrangements are unlikely to affect this provider’s current claims footprint.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.3,430$140$489.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…3,280$70$236.1K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.3,430$40$137K
    G0008Administration of influenza virus vaccine3,420$30$102.7K
    0124AN/A120$40$4.7K
    0134AN/A90$40$3.5K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…140$20$3.2K

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322283030$140$12.8K
    90662294030$70$5K
    9048031,38030$40$3.5K
    G000832,30030$30$2.2K
    0134A1630020$40$1.4K
    0124A762020$40$1.2K
    90686216020$20$680

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo ClinicMNMulti-Specialty Clinic/Center$0$74.3M
    Mayo Clinic Health System-southeast Minnesota RegionMNGeneral Acute Care Hospital$0$37.5M
    Mayo ClinicMNClinical Medical Laboratory$12.2M$15.2M
    Mayo Clinic Health System-southeast Minnesota RegionMNMulti-Specialty Clinic/Center$0$21.8M
    Mayo Clinic Health System-southeast Minnesota RegionMNMulti-Specialty Clinic/Center$0$13.7M
    Mayo Clinic Health System-southeast Minnesota RegionMNSubstance Abuse Rehabilitation Facility$0$12.6M
    Mayo Clinic Hospital-rochesterMNGeneral Acute Care Hospital$0$11.5M
    Mayo Clinic Health System-southeast Minnesota RegionMNGeneral Acute Care Hospital$0$6.6M
    Mayo Clinic Health System-southeast Minnesota RegionMNMulti-Specialty Clinic/Center$0$4.4M
    Kevin BroughKSMOHS-Micrographic Surgery Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo Collaborative Services, IncMNClinical Medical Laboratory$6.5M$39.2M
    Mayo ClinicMNMulti-Specialty Clinic/Center$0$10.9M
    Mayo Foundation For Medical Education & ResearchMNDurable Medical Equipment & Medical Supplies$9.3K$2.8M
    Vidhu KaushikMNClinical Pathology/Laboratory Medicine Physician$59.6K$1.9M
    Roberto Leon FerreMNMedical Oncology Physician$1.3M$0
    Peter NoseworthyMNCardiovascular Disease Physician$1.1M$0
    Daniel ChildsMNMedical Oncology Physician$1.1M$0
    Brittany SiontisMNMedical Oncology Physician$960.6K$0
    Sani KizilbashMNMedical Oncology Physician$946.7K$0
    Timothy HobdayMNMedical Oncology Physician$931.3K$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. Minnesota Distribution
    Robert Jacobson — 6 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota