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

    NPI 1326082298 · Thomasville, GA · Family Medicine Physician

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    James Brown is a family medicine physician provider located in Thomasville, Georgia. This profile covers 10 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 Brown
    Address454 Smith Ave
    CityThomasville
    StateGA
    ZIP31792
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 15, 2006

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

    Payer SourceTotal Paid
    Medicare$18.1K
    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.

    10 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…200$50$9.3K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.20$140$2.4K
    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).…210$10$1.9K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.20$90$1.4K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.340$1$1.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.120$10$940
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…10$20$270
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$20$270
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…50$1$140
    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…10$10$130

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992851,5551,72090$130$17.2K
    992133,28213,36080$60$9.2K
    992841,7041,84050$90$5.7K
    364151,3993,010100$10$3.2K
    9225058362050$20$2.8K
    830362731,72060$10$2.1K
    963722,7862,93050$10$850
    82947914050$1$500
    8788056795020$20$490
    810024121,30030$1$220

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Harsha VyasGAHematology & Oncology Physician$1.5M$0
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Erick BournigalGARheumatology Physician$1.3M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Rafik Ben AbdaFLDiagnostic Radiology Physician$743.9K$0
    Sean WhalenNYNuclear Medicine Physician$555.5K$0
    Antonio MoranGAHematology & Oncology Physician$537.8K$0
    Edmund HarrisNJDiagnostic Radiology Physician$421.5K$65.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Georgia Pines Community Service BoardGACommunity/Behavioral Health Agency$0$45.3M
    Shannon Mullen-magbalonGACounseling Psychologist$0$1.7M
    Thomasville Surgery Center, Inc.GAAmbulatory Surgical Clinic/Center$1M$0
    Brian SzwarcGAPlastic Surgery within the Head & Neck (Otolaryngology) Physician$126.6K$540.7K
    Thomas County Commissioners Of Roads & RevenuesGALand Ambulance$606.5K$0
    Maximilian ShokatGAInterventional Pain Medicine Physician$516.1K$0
    Maurice BernaicheGAInterventional Pain Medicine Physician$358.6K$6.7K
    Michael MagbalonGAOphthalmology Physician$359K$0
    Michael GeeGAInternal Medicine Physician$331.6K$0
    Albert RichardsonGAVascular Surgery Physician$325.9K$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. Georgia Distribution
    James Brown — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia