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

    NPI 1073591517 · Durango, CO · Physical Medicine & Rehabilitation Physician

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    James Santos is a physical medicine & rehabilitation physician provider located in Durango, Colorado. This profile covers 23 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 Santos
    Address1 Mercado St
    CityDurango
    StateCO
    ZIP81301
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedJanuary 5, 2006

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

    Payer SourceTotal Paid
    Medicare$152.2K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).150$220$33.7K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…120$190$23.5K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…120$150$17.4K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$390$10.1K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…120$80$9K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…50$190$8.6K
    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$100$6.9K
    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…90$70$5.5K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…30$170$4.9K
    99204The provider sees a new 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 provider…40$120$4.4K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644833516070$200$23.6K
    646357111030$400$20.2K
    644938014050$190$15K
    992144,3948,16080$80$11.3K
    623231511040$150$9.3K
    64490519040$190$9.1K
    62321477030$170$6.6K
    992132,9567,20070$60$6.6K
    958862912060$70$6.5K
    95911455020$160$6.1K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kirk MitchellCOGeriatric Medicine (Internal Medicine) Physician$27.1M$1M
    New Mexico Orthopaedic Associates PCNMOrthopaedic Surgery Physician$0$16.2M
    Shahid JaveryCOInternal Medicine Physician$11.4M$0
    Clayton LabaumeCOSurgical Physician Assistant$1.4M$0
    Nicole DaveyTXRheumatology Physician$1.4M$0
    Misbah ZmilyNMInternal Medicine Physician$609.4K$703K
    Justin HoumanCAUrology Physician$696.5K$0
    Samir HadiNVVascular & Interventional Radiology Physician$642.2K$0
    Marie WeeksCORadiation Oncology Physician$355.2K$0
    Kimberly WagnerCONeurology Physician$353.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$18.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$6M
    Pediatric Partners Of The SouthwestCOPediatrics Physician$0$5.8M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.5M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.3M
    Nicholas HugentoblerCOFoot & Ankle Surgery Podiatrist$1.9M$0
    Kyle PiwonkaCORetina Specialist (Ophthalmology) Physician$1.7M$0
    Sano Vita IncCOCommunity/Retail Pharmacy$86.6K$359.1K
    Joshua ZastrockyCOOphthalmology Physician$352.5K$0
    Jonathan ClarkCORadiation Oncology Physician$340.9K$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. Colorado Distribution
    James Santos — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado