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 & MedicaidJennifer May
    Ask Trek AI about this page

    Jennifer May — Billing Profile & Reimbursement Data

    NPI 1891765475 · Rapid City, SD · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Jennifer May — 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.

    Jennifer May is a internal medicine physician provider located in Rapid City, South Dakota. This profile covers 42 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
    OrganizationJennifer May
    Address3024 Tower Rd Ste 2
    CityRapid City
    StateSD
    ZIP57701
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 25, 2006

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider’s billed Medicare revenue totals $1.9M while there is no Medicaid billing on file, meaning the practice is effectively single‑payer in the dataset and financially concentrated in Medicare receipts rather than a mixed Medicare/Medicaid payer mix. Absence of any Medicaid claims limits conclusions about in‑state Medicaid market share or contract participation.

    Revenue is highly concentrated in a small set of biologic injection codes: the precomputed top three codes (J3380, J3262, J9312) account for 54.5% of this provider’s total Medicare revenue, with J3380 reported at $494.7K (26.1%), J3262 at $289.2K (15.2%), and J9312 at $249.6K (13.2%). This concentration indicates the practice derives the majority of its Medicare dollars from a few high‑cost injectable biologics rather than from routine evaluation & management visits.

    The CPT/HCPCS mix indicates an infusion‑centric operation focused on IV and parenteral biologic therapies: high‑revenue drugs listed include vedolizumab (J3380), tocilizumab (J3262), rituximab (J9312), golimumab (J1602), and infliximab (J1745). Supportive infusion and chemotherapy administration codes are present (e.g., 96365 with 425 claims and $19.6K revenue, 96413 with 160 claims and $14.9K revenue, and 96415 with 241 claims and $5.1K revenue), signposting an on‑site infusion suite or regular IV administration services rather than a visit‑driven primary care model.

    Clinical visit codes generate comparatively modest revenue versus drug administration: 99214 appears with 499 claims and $41.4K (2.2% of Medicare revenue) and 99213 with 43 claims and $2.1K (0.1%). This suggests the practice’s economics are dominated by drug/infusion reimbursement rather than face‑to‑face E/M throughput.

    For vedolizumab (J3380) the provider ranks #30 of 620 nationally and is described as notably above typical national volume (95th percentile), identifying this clinician as a high‑volume national outlier for that specific biologic. That ranking supports the view that the provider is a regional or specialty focal point for vedolizumab administration relative to peers.

    Other high‑cost biologics show more typical participation: J3262 (tocilizumab) ranks #190 of 618 (69th percentile) and J9312 (rituximab) ranks #118 of 317 (61th percentile), both described as typical or unremarkable volume. These placements indicate the provider is a modest/typical national participant for several biologics even as J3380 is a standout.

    Several infusion/administration procedure codes sit at high national percentiles (96365 at the 94th percentile, 96372 at the 94th percentile, and 96415 at the 92th percentile), reinforcing that the practice maintains significant infusion throughput and capacity. Taken together with the drug revenue mix, these administration‑code percentiles point to an operational emphasis on delivering IV biologic therapies on site.

    The provider’s NPI was enumerated on 2006-01-25 (~20 years ago), indicating long tenure in the Medicare program; this longevity, combined with concentrated biologic billing, suggests an established practice with a stable focus on infusion‑delivered specialty therapies. The lack of Medicaid billing on file could reflect nonparticipation in Medicaid, a patient panel skewed toward Medicare ages, or billing/capture differences, and it limits evaluation of the provider’s role in Medicaid networks.

    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3380Injection, vedolizumab, intravenous, 1 mg29,100$20$494.7K
    J3262Injection, tocilizumab, 1 mg57,840$10$289.2K
    J9312Injection, rituximab, 10 mg3,900$60$249.6K
    J1602Injection, golimumab, 1 mg, for intravenous use20,770$10$207.7K
    J1745Injection, infliximab, excludes biosimilar, 10 mg6,370$30$165.6K
    J0717Injection, certolizumab pegol, 1 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)33,600$1$134.4K
    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)3,150$30$107.1K
    J0897Injection, denosumab, 1 mg5,520$20$99.4K
    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…500$80$41.4K
    J1439Injection, ferric carboxymaltose, 1 mg33,000$1$33K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J338011024,000$20$412.6K
    J326211051,240$1$228.4K
    J160211018,780$10$189.1K
    J071721033,600$1$175.6K
    J93121101,850$60$158.7K
    J01292103,610$30$120.4K
    J17451104,300$30$97.2K
    J08975402,460$20$52.8K
    J143911026,630$1$23K
    96413510110$100$13.5K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Monument Health Rapid City Hospital, Inc.SDMulti-Specialty Clinic/Center$0$5.2M
    Rapid City Medical Center, LLPSDMulti-Specialty Clinic/Center$0$4.5M
    Richard WhiteARHematology & Oncology Physician$2.2M$0
    Monument Health Network, Inc.SDMulti-Specialty Clinic/Center$0$2M
    Monument Health Network, Inc.SDMulti-Specialty Clinic/Center$0$1.8M
    Monument Health Rapid City Hospital, Inc.SDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Luke HushagenSDInternal Medicine Physician$1.4M$0
    Don WynnTXPulmonary Disease Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavior Management Systems, Inc.SDCommunity/Behavioral Health Agency$0$19.8M
    Community Health Center Of The Black Hills IncSDFederally Qualified Health Center (FQHC)$0$10.2M
    Jrk Services, IncSDHome Health Agency$0$10.1M
    Black Hills Pediatrics, LLPSDPediatrics Physician$0$9.7M
    Rapid City Emergency Services PASDEmergency Medicine Physician$0$8.2M
    Wellspring Inc.SDPsychiatry Physician$0$7.4M
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Radiology Associates Prof, LLCSDDiagnostic Radiology Physician$0$5.3M
    City Of Rapid CitySDAmbulance$1.4M$3.7M
    Black Hills Oral & Maxillofacial Surgery PCSDOral and Maxillofacial Pathology Dentistry$0$3.2M

    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. South Dakota Distribution
    Jennifer May — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota