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

    NPI 1225067218 · Brick, NJ · Anesthesiology Physician

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    James Higgins is a anesthesiology physician provider located in Brick, New Jersey. This profile covers 9 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 Higgins
    Address425 Jack Martin Blvd
    CityBrick
    StateNJ
    ZIP08724
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJuly 2, 2006

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

    Payer SourceTotal Paid
    Medicare$24.2K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01844The provider performs anesthesia services for a patient undergoing a vascular shunt procedure, or shunt revision of any type, such as for dialysis.20$210$4.6K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…60$70$4K
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.20$180$3.9K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.20$180$3K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.30$80$2.5K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…40$50$2.2K
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.10$130$1.6K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…20$70$1.4K
    64447The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…20$50$990

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0140213230020$180$4.6K
    0081122981020$90$4K
    007905620010$210$3.3K
    007311181,05020$90$3.2K
    0081320545020$100$3K
    0184474010$150$2.6K
    019224030020$120$2.5K
    01480366010$110$1.5K
    644478114020$50$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dharam MannNJSpecialist$1M$0
    Heather LivezeyNJAnesthesiology Physician$239.6K$20.4K
    Douglas PitchfordNJPain Medicine (Anesthesiology) Physician$209.2K$0
    Abraham LehmanNJAnesthesiology Physician$199.5K$0
    John MakNJInterventional Pain Medicine Physician$190.1K$0
    Anant ParikhPAPain Medicine Physician$177.6K$10.8K
    Surjya SenNJPain Medicine (Anesthesiology) Physician$133.8K$0
    Andrew McelroyNJInterventional Pain Medicine Physician$122.8K$0
    Alexander KahanNJAnesthesiology Physician$108K$0
    Gary BuckNJPain Medicine (Anesthesiology) Physician$102.9K$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. New Jersey Distribution
    James Higgins — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey