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

    NPI 1255372371 · Raleigh, NC · Geriatric Medicine (Internal Medicine) Physician

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    James Parsons is a geriatric medicine (internal medicine) physician provider located in Raleigh, North Carolina. This profile covers 13 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 Parsons
    Address704 W Jones St
    CityRaleigh
    StateNC
    ZIP27603
    TaxonomyGeriatric Medicine (Internal Medicine) Physician
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicare$60.9K
    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.

    13 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…580$50$29.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$120$12.8K
    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…110$70$7.4K
    G0008Administration of influenza virus vaccine100$30$2.9K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…280$10$2.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.410$10$2K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.100$20$1.9K
    J1040Injection, methylprednisolone acetate, 80 mg160$10$1.3K
    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…30$10$250
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$10$140

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,23418,060110$80$15.1K
    G04391,1174,16060$120$10.5K
    9921349416,32070$50$7.1K
    364154803,49090$10$6.4K
    G00081,1774,58050$30$2.3K
    930001,1002,06030$10$1.1K
    9068848030$20$790
    963721192,69050$10$750
    J10402527030$10$600
    9047126029020$10$260

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rafael Rivera, Jr., Dds, PLLCNCDentist$0$19.1M
    Inomancy Home Care IncNCHome Health Agency$0$15.7M
    Amardeep Khara, Dmd, PANCOrthodontics and Dentofacial Orthopedics Dentistry$0$13.8M
    Living With Autism IncNCHome Health Agency$0$7.6M
    Best Home Healthcare Agency,llcNCHome Health Agency$0$7.4M
    Health & Home Services, Inc.NCNursing Care Agency$0$7.2M
    Sally DelmastroNCAdult Health Nurse Practitioner$203.7K$0
    Rosmy JimmyNCInternal Medicine Physician$91.6K$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. North Carolina Distribution
    James Parsons — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina