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

    NPI 1316191646 · Paducah, KY · Certified Registered Nurse Anesthetist

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    James Durbin is a certified registered nurse anesthetist provider located in Paducah, Kentucky. This profile covers 7 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 Durbin
    Address5925 Us Highway 60 W Suite D
    CityPaducah
    StateKY
    ZIP42001
    TaxonomyCertified Registered Nurse Anesthetist
    NPI EnumeratedNovember 13, 2008

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

    Payer SourceTotal Paid
    Medicare$140.3K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01938The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.910$70$66.4K
    01940The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…290$80$21.7K
    01937The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the cervical or thoracic spine or spinal cord.270$70$19.7K
    01992The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…210$90$18.3K
    01939The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is the cervical or…90$80$6.8K
    01942The provider performs anesthesia services for a patient undergoing percutaneous image–guided neuromodulation procedures (altering nerve activity through stimulation) or intravertebral procedures…50$110$5.3K
    01991The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider does not perform this…40$60$2.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0193811030$70$8.4K
    0199242060$90$6.9K
    0193711040$80$6.6K
    0194012040$80$5.1K
    0193911020$80$3.2K
    0194221020$110$3K
    0199111040$60$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edward NelsonOHPain Medicine Physician$165.3K$0
    Daniel HutherKYCertified Registered Nurse Anesthetist$155K$0
    Dana LemnusINCertified Registered Nurse Anesthetist$74.2K$0
    Ronnie BowerKYCertified Registered Nurse Anesthetist$41.3K$29.9K
    Betty SandlinKYCertified Registered Nurse Anesthetist$66.9K$0
    Julie StewartKYCertified Registered Nurse Anesthetist$66.2K$0
    Wendy BrenningmeyerKYCertified Registered Nurse Anesthetist$62.3K$0
    Roy MorrisKYCertified Registered Nurse Anesthetist$61.6K$0
    David EllisonKYCertified Registered Nurse Anesthetist$48.6K$0
    Brian O'neillKYCertified Registered Nurse Anesthetist$46.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, IncKYRehabilitation Hospital$0$47.8M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$39.3M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Easter Seals West Kentucky, Inc.KYBehavior Analyst$0$17.8M
    Shelly BaerKYClinical Social Worker$105.8K$9.8M
    Emerald Therapy Center, LLCKYCommunity/Behavioral Health Agency$0$9.8M
    Easter Seals West KentuckyKYDevelopmentally Disabled Services Day Training Agency$0$8.1M
    Bhg Xxxiii, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$124.1K$4.8M
    ArcareKYFederally Qualified Health Center (FQHC)$0$4.4M
    Legacy Oxygen And Home Care Equipment LLCKYOxygen Equipment & Supplies (DME)$0$4.1M

    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. Kentucky Distribution
    James Durbin — 4 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky