Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Busch
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    James Busch — Billing Profile & Reimbursement Data

    NPI 1285654210 · Chattanooga, TN · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for James Busch — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    James Busch is a diagnostic radiology physician provider located in Chattanooga, Tennessee. This profile covers 63 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Busch
    Address1604 Gunbarrel Rd
    CityChattanooga
    StateTN
    ZIP37421
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 20, 2006

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

    Payer SourceTotal Paid
    Medicare$474.1K
    Medicaid$16.7K

    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.

    63 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…890$120$102.6K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.270$250$68.5K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie110$420$45.6K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.160$250$39.7K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…830$50$39.6K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…10$1,150$14.9K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…110$100$11.6K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).60$200$11.1K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.70$150$10.5K
    38222The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…80$120$9.5K

    Showing 1–10 of 63

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    63 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9595510530$470$335.1K
    7881514415070$350$38.5K
    644838215070$190$25.8K
    7706737460160$60$18.6K
    74177565580110$90$12.7K
    557004311020$250$10.2K
    7706337420150$30$10K
    7702111030$310$9.4K
    7055321430050$110$9.3K
    7219728040$140$8K

    Showing 1–10 of 63

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.80$170$13.5K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…90$40$3.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…82120380$20$46.1K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.2950100$80$38.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Garth McphersonTNDiagnostic Radiology Physician$870.9K$830
    Selcuk TombulTNCardiovascular Disease Physician$734.6K$27K
    David WoodCADiagnostic Radiology Physician$641.3K$2.7K
    Todd BlodgettPADiagnostic Radiology Physician$380.1K$254K
    Gregory ApplegateCADiagnostic Radiology Physician$504K$0
    James SlussVADiagnostic Radiology Physician$364K$90K
    Atul GuptaVADiagnostic Radiology Physician$319.1K$120.4K
    Rachel NelsonTNDiagnostic Radiology Physician$383.2K$0
    Tareck KadrieTNNeurology Physician$372.3K$3.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkridge Medical Center, Inc.TNPsychiatric Hospital Unit$0$52.8M
    Dx Mso, PLLCTNUrgent Care Clinic/Center$0$13.3M
    Independent Physical Therapy, LLCTNPhysical Therapist$0$12.3M
    Comprehensive Medical Care, P.C.TNPediatrics Physician$0$12M
    Chattanooga Allergy Clinic , PLLCTNAllergy & Immunology Physician$0$9M
    Hospice Of Chattanooga Holdings, LLCTNCommunity Based Hospice Care Agency$0$5.3M
    Advanced Respiratory, Inc.TNDurable Medical Equipment & Medical Supplies$0$4.6M
    Allied Pediatrics PLLCTNPediatrics Physician$0$4.2M
    Restoration Recovery, PLLCTNAddiction Medicine (Preventive Medicine) Physician$0$4.1M
    Southeast Eye Specialists PLLCTNOphthalmology Physician$0$3.8M

    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. Tennessee Distribution
    James Busch — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    James Busch — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee