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NPI 1225148794 · San Francisco, CA · Sports Medicine Podiatrist
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James Nickolopoulos is a sports medicine podiatrist provider located in San Francisco, California. This profile covers 10 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Nickolopoulos |
| Address | 2237 Irving St |
| City | San Francisco |
| State | CA |
| ZIP | 94122 |
| Taxonomy | Sports Medicine Podiatrist |
| NPI Enumerated | August 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $269.5K |
| Medicaid | $71.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 2,240 | $30 | $60.5K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 1,000 | $60 | $56.9K |
| 99342 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30… | 700 | $60 | $42K |
| G0127 | Trimming of dystrophic nails, any number | 2,240 | $20 | $33.6K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 370 | $90 | $32.8K |
| 10060 | The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 150 | $110 | $16.1K |
| 99347 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at… | 420 | $30 | $14.4K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 140 | $50 | $6.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 70 | $50 | $3.6K |
| 29580 | The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to… | 90 | $40 | $3.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 2,040 | $20 | $36.7K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 1,660 | $10 | $8.3K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 720 | $10 | $5.8K |
| 99213 | The 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… | 400 | $10 | $4.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 310 | $10 | $4K |
| 99334 | N/A | 210 | $20 | $3.1K |
| 10060 | The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 80 | $30 | $2.1K |
| G0127 | Trimming of dystrophic nails, any number | 300 | $10 | $1.8K |
| 99325 | N/A | 90 | $20 | $1.7K |
| 99347 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at… | 220 | $10 | $1.6K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 8,717 | 14,520 | 760 | $10 | $122.8K |
| 99342 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30… | 19 | 50 | 30 | $490 | $88.1K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 106 | 180 | 190 | $60 | $69K |
| 99203 | The 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… | 4,774 | 5,590 | 180 | $50 | $62.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 3,071 | 5,600 | 440 | $10 | $44.4K |
| 99347 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at… | 53 | 150 | 110 | $20 | $24.7K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 148 | 890 | 350 | $20 | $19.9K |
| 29540 | The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,… | 85 | 90 | 140 | $10 | $11.8K |
| 99334 | N/A | 53 | 120 | 150 | $10 | $10.4K |
| 10060 | The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 97 | 180 | 100 | $30 | $9.3K |
Showing 1–10 of 16
Other providers in the same ZIP code as James Nickolopoulos, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ucsf Medical Group Business Services | CA | Internal Medicine Physician | $0 | $47.2M |
| Dylan Masters | CA | Anesthesiology Physician | $30.2K | $0 |
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