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

    NPI 1134299787 · Boston, MA · Interventional Cardiology Physician

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    James Mccabe is a interventional cardiology physician provider located in Boston, Massachusetts. This profile covers 17 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 Mccabe
    Address185 Pilgrim Rd
    CityBoston
    StateMA
    ZIP02215
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedNovember 9, 2006

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

    Payer SourceTotal Paid
    Medicare$236.5K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…150$620$90.7K
    33418In this procedure, the provider repairs a narrowed and stiff mitral valve using a percutaneous (through the skin) approach. The mitral valve controls the passage of blood from the left atrium of the…30$1,470$47.1K
    0569TThe provider repairs a defect in the mitral valve (the three–leaflet valve between the right atrium and the right ventricle) by placing a prosthesis through a catheter that he inserts percutaneously…20$1,010$24.3K
    0483TThe provider implants a prosthetic mitral valve, or replaces one, through a catheter that he inserts through a small incision in the skin and which he threads through a vessel to the heart; he may or…20$780$16.3K
    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…120$110$12.6K
    0570TAfter placing a prosthetic device to repair the tricuspid valve (the three–leaflet valve between the right atrium and the right ventricle) and reduce regurgitation (backflow of blood), the provider…20$510$8.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$110$7K
    33419At the same session as an initial mitral valve repair and placement of a prosthesis in the mitral valve, the provider places additional prostheses during the same session. The provider repairs the…20$320$6.1K
    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…50$120$5.8K
    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…30$150$4.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3341811030$1,010$29.2K
    3336127040$600$26K
    992147,01415,410110$80$15.6K
    992322,1985,40070$60$9.3K
    992151,6896,36040$120$8.9K
    992391,0732,02040$90$7.1K
    992043495,87030$120$5.6K
    992057132,43030$160$5.5K
    992221413,42030$100$4.5K
    992032,3264,29030$80$4.1K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beth Israel Deaconess Medical Center, Inc.MAGeneral Acute Care Hospital$0$270.4M
    Central Washington Health Services AssociationWAGeneral Acute Care Hospital$0$63.5M
    Wenatchee Valley HospitalWAGeneral Acute Care Hospital$0$22.9M
    Wenatchee Valley HospitalWAMulti-Specialty Clinic/Center$0$19.5M
    Wenatchee Valley HospitalWARural Health Clinic/Center$0$14.1M
    Central Washington Health Services AssociationWAGeneral Acute Care Hospital$0$10.9M
    Wenatchee Valley HospitalWARural Health Clinic/Center$0$8.6M
    Wenatchee Valley HospitalWARural Health Clinic/Center$0$7.4M
    Central Washington Health Services AssociationWAEmergency Medical Services (Emergency Medicine) Physician$0$7M
    Wenatchee Valley HospitalWARural Health Clinic/Center$0$5.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dana-farber Cancer Institute, Inc.MAGeneral Acute Care Hospital$0$240.4M
    Associated Physicians Of Harvard Medical Faculty Physicians At Beth IsMAEmergency Medical Services (Emergency Medicine) Physician$0$34.9M
    Suburban Home Health Care IncMAHome Health Agency$0$23.6M
    Fenway Community Health Center, IncMAFederally Qualified Health Center (FQHC)$0$22.5M
    Atrius Health, Inc.MAInternal Medicine Physician$0$14.5M
    Planned Parenthood League Of Massachusetts, Inc.MAAmbulatory Family Planning Facility$0$12.8M
    Suburban Homemaking & Maternity Agency, Inc.MAHome Health Agency$0$6.7M
    Kids Are People Elementary SchoolMADevelopmentally Disabled Services Day Training Agency$0$6.4M
    Avnish DeobhaktaMARetina Specialist (Ophthalmology) Physician$1M$141.3K
    David MeenanMAInternal Medicine Physician$40.4K$808.1K

    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. Massachusetts Distribution
    James Mccabe — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts