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

    NPI 1255355442 · Celebration, FL · Otolaryngology Physician

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    James Atkins is a otolaryngology physician provider located in Celebration, Florida. This profile covers 8 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.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Atkins
    Address410 Celebration Place
    CityCelebration
    StateFL
    ZIP34747
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 27, 2006

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

    Payer SourceTotal Paid
    Medicare$175.4K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,250$60$78.8K
    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…620$80$49.4K
    69801The provider makes a surgical incision into the labyrinth (the inner ear) and instills or perfuses one or more drugs, such as a steroid or an antibiotic, through the tympanic membrane.170$180$31K
    95992The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…250$30$7.9K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.30$180$4.4K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.90$20$2K
    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…10$110$1.4K
    99442N/A20$50$850

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975302,3652,780370$20$18.9K
    9921355230,01080$60$12K
    6980112030$170$8K
    9920417,24619,04040$110$7K
    992032211,72040$70$4.4K
    69433196020$160$3.6K
    9944267197020$60$3.5K
    95992416030$30$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Hospital Medical Group IncFLFamily Medicine Physician$0$71.2M
    Adventist Health System-sunbelt, IncFLClinical Medical Laboratory$0$28.2M
    Florida Hospital Physician Group IncFLFamily Medicine Physician$0$21.4M
    Memorial Hospital Flagler IncFLGeneral Acute Care Hospital$0$13.9M
    Florida Hospital Medical Group IncFLDiagnostic Radiology Physician$0$13.1M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M
    Memorial Health Systems IncFLSurgery Physician$0$7.4M
    Daniel NovickNYVascular & Interventional Radiology Physician$3M$658.6K
    Mohsin MalikFLMedical Oncology Physician$2M$0
    Randall J. Hill, M.d., P.L.L.C.WVSpecialist$0$1.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Angelos ManganiotisFLUrology Physician$539.7K$0
    Z2 ScientificFLClinical Medical Laboratory$513.9K$23.4K
    Vipul PatelFLUrology Physician$442.1K$0
    Dean GoodlessFLDermatology Physician$267.3K$0
    Bradley HomanFLSports Medicine (Orthopaedic Surgery) Physician$227.6K$0
    Soheil SooudiFLDiagnostic Radiology Physician$203.8K$0
    Jeffery KuhnFLOtolaryngology Physician$165.6K$0
    Chandan ReddyFLNeurological Surgery Physician$133.1K$0
    Yifan LiFLRadiation Oncology Physician$127.5K$0
    Michael McdonaldFLUrology Physician$115.2K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    James Atkins — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida