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 & MedicaidJames Sullivan
    Ask Trek AI about this page

    James Sullivan — Billing Profile & Reimbursement Data

    NPI 1023422748 · Merrimack, NH · Neuromusculoskeletal Medicine & OMM Physician

    Customize your policy alerts

    Sign up for James Sullivan — 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.

    James Sullivan is a neuromusculoskeletal medicine & omm physician provider located in Merrimack, New Hampshire. This profile covers 10 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 / 8

    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
    OrganizationJames Sullivan
    Address696 Daniel Webster Hwy
    CityMerrimack
    StateNH
    ZIP03054
    TaxonomyNeuromusculoskeletal Medicine & OMM Physician
    NPI EnumeratedJune 20, 2014

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

    Payer SourceTotal Paid
    Medicare$43.4K
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…140$140$19K
    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…70$80$5.4K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…220$20$5.2K
    98928The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.70$50$3.6K
    99205The 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$180$3K
    98927The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.60$40$2.7K
    98926The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.70$40$2.4K
    98929The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.10$70$940
    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…10$70$790
    98925The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.20$30$480

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,9913,150110$80$13.2K
    98927610100$40$10.5K
    97112204340290$20$8.7K
    992132,8312,90070$50$6.9K
    992151141,08040$110$6.8K
    9892951060$60$5.5K
    98928710100$50$5K
    9920528944020$140$4.9K
    9892621060$30$3K
    9892521020$20$450

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert LancasterMAVascular Surgery Physician$720.8K$0
    Kalyani GovindarajuNHRheumatology Physician$483K$0
    Julius TabeMAFamily Medicine Physician$449.6K$2.5K
    Mollie MaccormackNHMOHS-Micrographic Surgery Physician$449.5K$0
    David PosnickNHDermatology Physician$289.5K$0
    Rui ZhangNHRheumatology Physician$288K$0
    Paul LabinsonNHEndocrinology, Diabetes & Metabolism Physician$254.3K$0
    Sean FitzpatrickNHNephrology Physician$244.2K$0
    John SheppardNHDiagnostic Radiology Physician$241.3K$0
    Wendi CardeiroNHCardiovascular Disease Physician$223.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nurses Prn IncNHHome Health Agency$0$6.4M
    Merrimack School DistrictNHLocal Education Agency (LEA)$0$1.7M
    Convenientmd LLCNHUrgent Care Clinic/Center$0$990.1K
    Home Health & Hospice CareNHHome Health Agency$0$695.3K
    Amanda CurrierNHAcute Care Nurse Practitioner$519.7K$0
    Nashua Adult Day Health LLCNHAdult Day Care Clinic/Center$0$456.4K
    Town Of MerrimackNHAmbulance$270.3K$179.8K
    Kevin ChauvetteNHOptometrist$0$255.7K
    Merrimack Adult Day Health Center LLCNHAdult Day Care Clinic/Center$0$213.1K
    Care Plus Emergency Ambulance Service, IncNHLand Ambulance$0$170.6K

    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. New Hampshire Distribution
    James Sullivan — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire