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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Rose
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    James Rose — Billing Profile & Reimbursement Data

    NPI 1083866743 · Locust Grove, GA · Physician Assistant

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    James Rose is a physician assistant provider located in Locust Grove, Georgia. This profile covers 16 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 Rose
    Address4861 Bill Gardner Pkwy
    CityLocust Grove
    StateGA
    ZIP30248
    TaxonomyPhysician Assistant
    NPI EnumeratedOctober 14, 2008

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

    Payer SourceTotal Paid
    Medicare$40.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…140$70$10.3K
    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…100$90$8.9K
    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…110$60$6.2K
    99203The provider sees a new 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 provider…80$70$5.1K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc60$50$3.1K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.110$20$1.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…70$20$1.4K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…30$50$1.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…80$10$650
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$20$350

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,14313,640120$80$17.8K
    992135,53213,36080$60$9.2K
    992047607,26030$110$5.1K
    992038805,35030$70$3.3K
    U00023329040$50$2.3K
    8763519148020$50$1.8K
    930001,5472,59040$10$1.3K
    710466341,82040$10$1.2K
    878041761,13050$20$1.1K
    963729082,93050$10$850

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellstreet Of Georgia PCGAUrgent Care Clinic/Center$0$42.5M
    Hugh ThomasFLFamily Medicine Physician$770.5K$0
    Gregory BennettGAInternal Medicine Physician$122.8K$730
    Michael PossGAFamily Medicine Physician$107K$0
    David JonesGAInternal Medicine Physician$61.8K$0
    Denis KimPAEmergency Medicine Physician$55.1K$0
    Curtis SorensenGAFamily Medicine Physician$52.7K$0
    Pamela RubioGAFamily Nurse Practitioner$48.2K$0
    Farhad YazdiGAFamily Medicine Physician$45.3K$0
    Cydney WilbanksGAPhysician Assistant$44.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Locust Grove PediatricsGAPediatrics Physician$0$2M
    Locust Grove Family MedicineGANon-Pharmacy Dispensing Site$0$628.2K
    Takle Eye Surgery Center LLCGAAmbulatory Surgical Clinic/Center$522.7K$0
    Nacolby's House, IncorporatedGAChild Physical Disabilities Respite Care$0$318.8K
    Jameson EstesGAFamily Medicine Physician$148.7K$0
    Regan FrakeGAFamily Medicine Physician$142.6K$0
    Vivekanand ManochaGAInterventional Pain Medicine Physician$113.4K$0
    Cody HartleyGAPhysical Therapist$41.1K$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. Georgia Distribution
    James Rose — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia