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    OpenPayerNPI Medicare & MedicaidJames Cole
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    James Cole — Billing Profile & Reimbursement Data

    NPI 1033108931 · El Paso, TX · Ophthalmology Physician

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    James Cole is a ophthalmology physician provider located in El Paso, Texas. This profile covers 8 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
    OrganizationJames Cole
    Address1400 Common Dr
    CityEl Paso
    StateTX
    ZIP79936
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 14, 2005

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

    Payer SourceTotal Paid
    Medicare$402.6K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…750$410$306.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.180$240$42.1K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…1,060$20$20.1K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…20$500$11.6K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$550$10.9K
    68841The provider inserts an implant that delivers a drug at a controlled rate into the lacrimal ducts of the eye to treat inflammation, glaucoma, or other conditions. The provider may also dilate the…590$10$7.7K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.20$150$3.7K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.30$20$580

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698453990100$560$113.9K
    669916310030$1,510$55.7K
    6698216627020$650$23.4K
    668217470050$230$20K
    6585510415030$160$7.1K
    9213612650130$20$5.1K
    76519528040$40$2.3K
    6884114050$10$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwestern Eye Center LtdAZOphthalmology Physician$0$15.9M
    Barnet Dulaney Perkins Eye Center, PCAZOphthalmology Physician$0$10.9M
    Sujit IttyAZOphthalmology Physician$6.2M$11.3K
    Neal PalejwalaAZOphthalmology Physician$4.4M$2.9K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Karim JamalAZOphthalmology Physician$3.1M$7.7K
    Mark BarakatAZOphthalmology Physician$3M$0
    Jordan GraffAZRetina Specialist (Ophthalmology) Physician$2.8M$0
    Kyle PiwonkaCORetina Specialist (Ophthalmology) Physician$1.7M$0
    Derek KunimotoAZOphthalmology Physician$1.5M$142.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holistic Care Home Health Agency, Inc.TXPersonal Care Attendant$0$15.3M
    Socorro Independent School DistrictTXLocal Education Agency (LEA)$0$14.5M
    Caprock Home Health Services, Inc.TXHome Health Agency$0$13.7M
    Caprock Home Health Services, Inc.TXHome Health Agency$0$13.5M
    Care Divine Of Guardian Angel, LLCTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.7M
    Q Med Laboratory, LLCTXClinical Medical Laboratory$642.7K$442.5K
    Vista Surgery Center LLCTXAmbulatory Surgical Clinic/Center$817.6K$93.9K
    Exova Diagnostics LLCTXClinical Medical Laboratory$501.3K$39.3K
    Asad OmarTXPulmonary Disease Physician$397.8K$0
    Ali IbrahimTXPain Medicine (Anesthesiology) Physician$311.4K$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. Texas Distribution
    James Cole — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas