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    OpenPayerNPI Medicare & MedicaidJeffrey Weber
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    Jeffrey Weber — Billing Profile & Reimbursement Data

    NPI 1962465047 · Milwaukee, WI · Gastroenterology Physician

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    Jeffrey Weber is a gastroenterology physician provider located in Milwaukee, Wisconsin. This profile covers 39 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
    OrganizationJeffrey Weber
    Address2901 W. Kk River Pkwy.
    CityMilwaukee
    StateWI
    ZIP53215
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$20.8M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused gastroenterology practice: reported Total Medicare revenue is $20.8M and there is no Medicaid billing on file, indicating a single-payer footprint in public programs. The NPI was enumerated on 2006-04-10 (~20 years ago), consistent with an established operation serving primarily Medicare or commercially insured patients rather than Medicaid populations.

    Revenue is highly concentrated in a handful of high-cost injectable therapies: the precomputed top three codes (J2507, J1303, J3241) account for 51.0% of the provider's Medicare revenue. Those individual contributions are $4.1M (20.0%) for J2507, $3.7M (17.9%) for J1303, and $2.7M (13.1%) for J3241, which together drive the majority of billings and would shape service-line priorities and inventory/administration needs.

    The code mix indicates the practice operates a high-volume infusion/injectable administration service focused on specialty biologics and related therapeutics rather than routine endoscopic procedural billing: prominent codes include pegloticase (J2507), ravulizumab (J1303), teprotumumab (J3241), vedolizumab (J3380), and multiple immune globulin codes. This pattern suggests clinical focus on chronic autoimmune, inflammatory bowel disease, anemia management, and other specialty injectable indications where office-based infusions are central to revenue.

    Competitive standing on several leading codes shows national-level prominence: J2507 ranks #1 of 5 providers nationally (100th percentile; typical, unremarkable volume for this code) and J1303 ranks #1 of 2 providers nationally (100th percentile; typical, unremarkable volume for this code), while J3241 ranks #3 of 6 providers nationally (60th percentile; typical, unremarkable volume for this code). Those rank positions indicate the provider is among a small set of national billers for certain rare/expensive injectables, even if the dataset labels volumes as “typical, unremarkable” for those code populations.

    Several codes are flagged as statistical outliers for unusually high national volume, which signals exceptional throughput in specific drug administrations: J0897 ($1.2M, 5.9%) is an "extreme outlier, far above typical national volume for this code" (rank #10 of 10057, 100th percentile), J3111 ($1.1M, 5.4%) is an "extreme outlier" (rank #8 of 970, 99th percentile), J1306 ($626.2K, 3.0%) is an "extreme outlier" (rank #8 of 462, 98th percentile), J1439 ($371.3K, 1.8%) is an "extreme outlier" (rank #2 of 1209, 100th percentile), and the administration code 96365 ($127.7K, 0.6%) is likewise an "extreme outlier" (rank #15 of 8873, 100th percentile).

    Despite concentration in a few top drugs, revenue is diversified across many biologics and immunotherapies at smaller shares: examples include J9332 $1.4M (6.7%), J1561 $640.4K (3.1%), J3380 $601.8K (2.9%), and J9312 $563.2K (2.7%). This spread across multiple specialty agents suggests the practice provides infusion services for a broad set of indications, reducing dependence on any single therapeutic beyond the top three.

    Operationally, the practice shows substantial infusion administration activity and capacity: 96365 appears with 2.7K claims and $127.7K revenue (0.6%) and 96413 has 401 claims and $38.9K revenue (0.2%), supporting the conclusion that an on-site infusion suite or regular outpatient infusion workflow underpins much of the billing. Combined with the high claim counts reported for many J-codes, these volumes imply routine, high-frequency administration rather than sporadic use.

    From a payer-mix and market-access perspective, the absence of Medicaid billing coupled with a long-tenured NPI (enumerated 2006-04-10, ~20 years ago) suggests an established provider whose patient panel skews to Medicare-aged or commercially insured specialty patients. Analysts assessing network adequacy or access should note the practice’s strong Medicare presence ($20.8M) but no Medicaid footprint, which could limit public-program access in its market area.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2507Injection, pegloticase, 1 mg1,620$2,550$4.1M
    J1303Injection, ravulizumab-cwvz, 10 mg21,350$170$3.7M
    J3241Injection, teprotumumab-trbw, 10 mg10,600$260$2.7M
    J9332Injection, efgartigimod alfa-fcab, 2mg55,600$30$1.4M
    J0897Injection, denosumab, 1 mg67,440$20$1.2M
    J3111Injection, romosozumab-aqqg, 1 mg139,020$10$1.1M
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg16,420$40$640.4K
    J1306Injection, inclisiran, 1 mg69,580$10$626.2K
    J3380Injection, vedolizumab, intravenous, 1 mg35,400$20$601.8K
    J9312Injection, rituximab, 10 mg8,940$60$563.2K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J25071101,620$2,550$4.1M
    J130311021,350$170$3.7M
    J324111010,600$260$2.7M
    J933211055,600$20$1.4M
    J235021010,800$50$576.1K
    J32454103,850$110$446.3K
    J130611037,770$10$353.5K
    J01291108,170$30$286.2K
    J218211010,600$20$248K
    J33801107,650$20$245.6K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Violetta MelkumAZFamily Nurse Practitioner$751.7K$0
    Madhuri TrivediWIGastroenterology Physician$89.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Health Care Metro, Inc.WIGeneral Acute Care Hospital$0$181.9M
    Aurora Medical Group, Inc.WICertified Registered Nurse Anesthetist$2.2K$139.2M
    Ascension St Francis Hospital, IncWIGeneral Acute Care Hospital$0$35.9M
    Sixteenth Street Community Health Centers, Inc.WIFederally Qualified Health Center (FQHC)$0$13.8M
    Familia Dental Mkemitchell LLCWIDental Clinic/Center$0$8.5M
    Ermed, ScWIEmergency Medicine Physician$0$8.1M
    Midwest Nephrology Associates, S.c.WINephrology Physician$0$5.7M
    Bright Dental 1 LLCWIGeneral Practice Dentistry$0$4.6M
    Fresenius Medical Care Midwest Dialysis, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M
    Sweet Smiles Milwaukee LLCWIGeneral Practice Dentistry$0$3.7M

    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. Wisconsin Distribution
    Jeffrey Weber — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin