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

    NPI 1295815462 · Kosciusko, MS · Family Medicine Physician

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    James Withers is a family medicine physician provider located in Kosciusko, Mississippi. This profile covers 105 Medicare and 25 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 Withers
    Address332 Highway 12 W
    CityKosciusko
    StateMS
    ZIP39090
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 16, 2006

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

    Payer SourceTotal Paid
    Medicare$336.1K
    Medicaid$42.3K

    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.

    105 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…960$80$71.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit260$120$30.3K
    J0897Injection, denosumab, 1 mg1,620$20$29.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…40$280$10.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…140$70$10.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…150$70$10.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,200$10$9.6K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.120$70$8.8K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.70$80$6K
    77078Computed tomography (CT) is also known as CAT (computerized axial tomography), CTAT (computerized transaxial tomography), and digital axial tomography (DAT). It is a powerful noninvasive evaluation…140$40$5.8K

    Showing 1–10 of 105

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 105 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    105 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0897791103,030$20$95.7K
    93306163210290$80$27.8K
    J27856770410$40$22K
    992142484,110170$70$21.9K
    9930985210100$70$20.9K
    7845211513070$160$16.7K
    G043911181070$110$14.4K
    99308228260110$50$13K
    992321,1041,490100$60$12.9K
    74177183190140$70$12.2K

    Showing 1–10 of 105

    • More pages

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,140$30$37.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.540$1$1.6K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…190$1$570
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…130$1$530
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…30$10$450
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…140$1$290
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…140$1$280
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.10$10$160
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…130$1$130
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…40$1$80

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7021,670720$50$196.4K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…154180180$40$78.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…3214401,410$1$40.1K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1191501,710$10$30.4K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.568580410$10$22.5K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…1241701,310$1$15.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.368780470$1$10.4K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…171270270$10$8.8K
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…4970480$1$4.7K
    84478The lab analyst measures the amount of triglycerides in the patient specimen. The provider typically orders the triglycerides test for a patient with atherosclerosis or other arterial diseases or for…810270$1$3.9K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bmc - Attala, LLCMSCritical Access Hospital$0$8.8M
    Premier Medical Group Of Mississippi LLCMSClinic/Center$0$8.1M
    James BennettMSInterventional Cardiology Physician$661.1K$0
    Benjamin CarterMSFamily Medicine Physician$439.8K$45.8K
    John WallaceMSFamily Medicine Physician$343.8K$53.9K
    Charles HallMSGastroenterology Physician$293.8K$0
    Michael HolmanMSFamily Medicine Physician$211.3K$33.3K
    Makau LeeMSGastroenterology Physician$239.1K$0
    Samuel HoldinessMSInternal Medicine Physician$133.1K$92.5K
    Catherine SorrellMSDiagnostic Radiology Physician$193.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fast Pace Mississippi, PLLCMSRural Health Clinic/Center$0$6.9M
    Bio-medical Applications Of Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.3M
    Attala Emergency Group LLCMSEmergency Medicine Physician$0$1.6M
    Imani Community Outreach CenterMSHomemaker$0$1.5M
    Jackey TurnerMSFamily Medicine Physician$206.9K$0
    Memorie FinnieMSOccupational Therapist$180.6K$0
    Robert BrowningMSFamily Medicine Physician$111.6K$21.4K
    Haley KuhnMSPhysical Therapist$117.3K$0
    Deidra CockroftMSPhysical Therapist$70.8K$0
    Christi SimsMSPhysical Therapist$60.8K$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. Mississippi Distribution
    James Withers — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    James Withers — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi