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    OpenPayerNPI Medicare & MedicaidMary Janine Hopkins
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    Mary Janine Hopkins — Billing Profile & Reimbursement Data

    NPI 1851316590 · Monroe, LA · Dermatology Physician

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    Mary Janine Hopkins is a dermatology physician provider located in Monroe, Louisiana. This profile covers 38 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
    OrganizationMary Janine Hopkins
    Address2509 Broadmoor Blvd
    CityMonroe
    StateLA
    ZIP71201
    TaxonomyDermatology Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$993.2K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is modest but concentrated, with Total Medicare revenue of $993.2K and no Medicaid billing on file; the dataset therefore portrays an effectively Medicare‑dependent practice rather than a dual‑payer operation. The absence of any Medicaid claims suggests payer mix and revenue risk are concentrated in the Medicare population.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 70.8% of the provider’s total Medicare revenue, driven primarily by 77280 (38.2% of Medicare revenue, $369.2K), G6001 (27.0% of Medicare revenue, $261.1K), and 77401 (5.5% of Medicare revenue, $53.6K). This means a small number of service lines dominate the revenue stream and will disproportionately affect overall revenue if utilization or payment for these codes changes.

    The code mix indicates substantial radiation therapy planning and guidance activity: high volumes for 77280 (1.8K claims) and G6001 (1.9K claims) and continued use of 77401 point to operations centered on simulation, field placement, and guidance for radiation treatments. Notably, this clinical profile is heavily weighted toward radiation therapy services despite the listed taxonomy of Dermatology Physician, implying the practice operates clinical services that span procedural dermatology and radiation therapy planning.

    Alongside radiation planning codes, the provider also bills a cluster of dermatology and photodynamic therapy services, including J7345 (26.6K claims, $26.6K revenue, 2.8% of Medicare revenue), 96573 (143 claims, $20.7K revenue, 2.1%), and biopsy codes such as 11102 (295 claims, $18.9K revenue, 2.0%). This mix suggests the practice delivers both lesion‑directed dermatologic care and photosensitizer‑based therapies, with a combination of high‑volume/low‑unit price drug dispensing (J7345 at $1 avg paid/claim) and higher‑unit clinical procedures.

    Competitive standing is uneven by code: 77280 ranks #38 of 3348 nationally (99th percentile; extreme outlier, far above typical national volume), and 11300 ranks #27 of 1624 (98th percentile; extreme outlier, far above typical national volume), indicating national‑level dominance for a small set of services. Other high‑revenue codes such as G6001 rank #28 of 280 (90th percentile; typical, unremarkable volume) and J7345 ranks #41 of 767 (95th percentile; notably above typical national volume), so the provider is a major outlier on certain codes while otherwise operating at typical volumes for many services.

    Operational throughput is pronounced in specific lines: 77280 and G6001 each have roughly 1.8K–1.9K claims, and J7345 shows 26.6K claims, illustrating substantial procedural and drug dispensing volume with divergent reimbursement profiles (e.g., 77280 at $206 avg paid/claim, G6001 at $138 avg paid/claim, J7345 at $1 avg paid/claim). This combination of high claim counts and variable average paid per claim drives the concentration of revenue into a few technical/radiation planning codes.

    The provider’s NPI tenure (enumerated 2006-07-13, ~20 years ago) indicates a long‑standing presence in the market, which can matter for network contracting, referral patterns, and competitive positioning. Combined with the concentrated revenue mix and code‑level outliers, the long tenure suggests an established operational model focused on the specific high‑volume services noted above.

    From a payer and business risk perspective, the lack of any Medicaid billing on file plus heavy revenue dependence on the top 3 codes (70.8% of Medicare revenue) means the practice has limited payer diversification and high exposure to shifts in Medicare utilization or reimbursement for those codes; analysts should flag this concentration when modeling revenue sensitivity or when evaluating contract negotiations.

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.1,790$210$369.2K
    G6001Ultrasonic guidance for placement of radiation therapy fields1,890$140$261.1K
    77401Deleted effective Jan. 1, 2026.1,730$30$53.6K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…350$150$52.1K
    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…410$90$34.4K
    J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg26,600$1$26.6K
    96573The provider applies a photosensitizing drug to a lesion and exposes it to a specific wavelength of light, depending on how far into the body the light needs to penetrate. The procedure is performed…140$150$20.7K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.300$60$18.9K
    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…300$60$18K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…240$70$15.6K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6001110490$130$99.4K
    77427760180$150$30.4K
    7728014040$170$22.4K
    992149796,670110$80$16.5K
    77401110240$30$16.1K
    77336720180$60$14.6K
    J7308103020$300$13K
    J73451107,400$1$11.6K
    9657471020$190$10.1K
    1711011724080$70$10K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anna LivingstonLANurse Practitioner$59.9K$0
    Rachel HeadTNAcute Care Nurse Practitioner$56.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Mary Janine Hopkins, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Care Solutions, Inc.LAChild Intellectual and/or Developmental Disabilities Respite Care$0$49.8M
    Affinity Health Group, LLCLAFamily Medicine Physician$0$34.6M
    Ascent Health, IncLACommunity/Behavioral Health Agency$0$31.4M
    Cognitive Development Center Personal Care ServicesLANursing Care Agency$0$27.8M
    St Francis Medical Center, IncLAGeneral Acute Care Hospital$0$27.2M
    Enrich Personal Care Services, LLC.LAPreferred Provider Organization$0$26.7M
    Southern Center For Children And Families, Inc.LACommunity/Behavioral Health Agency$0$24.5M
    Afnb Home Care LLCLAIn Home Supportive Care Agency$0$19.3M
    D & D Community ConnectionsLAPreferred Provider Organization$0$19.2M
    Hearts Desire LLCLAIn Home Supportive Care Agency$0$17.3M

    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. Louisiana Distribution
    Mary Janine Hopkins — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana