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

    NPI 1225018062 · Dartmouth, MA · Internal Medicine Physician

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    James Chen is a internal medicine physician provider located in Dartmouth, Massachusetts. This profile covers 25 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 Chen
    Address531 Faunce Corner Rd
    CityDartmouth
    StateMA
    ZIP02747
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 18, 2006

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

    Payer SourceTotal Paid
    Medicare$96.5K
    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.

    25 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…680$90$64.2K
    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…90$140$12.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…140$30$4.8K
    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…50$60$3.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.130$10$1.3K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.30$30$1.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.130$10$1.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…130$10$1.1K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…10$90$1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…90$10$1K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921456515,410110$80$15.6K
    992151,5346,36040$120$8.9K
    992138,27613,70070$60$8.8K
    8444345865050$20$8.2K
    8005318669040$10$7.8K
    8502518974040$10$4.9K
    364159322,130110$10$4.6K
    8260717944030$10$4.2K
    6921025743030$30$3.3K
    8750217218020$90$3.3K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steward Medical Group, IncMAInternal Medicine Physician$0$34.5M
    Southcoast Emergency Medical Services IncMALand Ambulance$2M$9.1M
    Pacheco Aba Service And Behavioral Consulting PLLCMABehavior Analyst$0$9.3M
    Advanced Eye Centers IncMAOptometrist$0$6.4M
    Fall River-new Bedford Regional Mri, Limited PartnershipMAMagnetic Resonance Imaging (MRI) Clinic/Center$637.1K$3.2M
    Precision Toxicology, LLCMAClinical Medical Laboratory$222.3K$3.2M
    Stat Ambulance Service IncMAAmbulance$779.6K$2.2M
    Kameran LashkariMAOphthalmology Physician$2M$0
    Coastal Sleep Diagnostics, LLCMASleep Disorder Diagnostic Clinic/Center$143.6K$1.4M
    Candescent Eye Health Surgicenter, LLCMAAmbulatory Surgical Clinic/Center$1.1M$369.1K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    James Chen — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts