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    OpenPayerNPI Medicare & MedicaidJoshua Latham
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    Joshua Latham — Billing Profile & Reimbursement Data

    NPI 1326139304 · Apo, AE · Family Medicine Physician

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    Joshua Latham is a family medicine physician provider located in Apo, Armed Forces Europe. 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. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoshua Latham
    Address48 Mdg
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09461
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$84.3K
    Medicaid$0

    Key Findings

    The provider’s Medicare activity is concentrated in emergency and acute care E/M plus some nursing-facility work: the top revenue codes are 99285, 99284 and 99291, and the code mix also includes nursing facility visits (99306, 99310) and a prolonged nursing-facility add-on (G0317). This pattern is consistent with a family medicine physician delivering high-acuity emergency department services alongside time-intensive nursing facility encounters rather than a pure primary-care office panel.

    Revenue is highly concentrated in a small set of high-acuity codes: the precomputed top 3 Medicare codes by revenue account for 77.9% of this provider’s total Medicare revenue, with 99285 at $46.3K (54.9% of Medicare revenue), 99284 at $12.5K (14.8%), and 99291 at $6.9K (8.1%). That concentration means a small number of encounter types drive most billed Medicare dollars for this NPI.

    This profile is effectively single-payer on file: lifetime Medicare revenue is $84.3K and there is no Medicaid billing on file, so the provider’s publicly observed claims activity appears to rely entirely on Medicare rather than a mixed Medicare/Medicaid payer mix. Analysts should treat Medicaid-level comparisons as not applicable for this NPI because there are no in-state Medicaid claims recorded.

    On national competitiveness for the highest-acuity ED work, 99285 is a clear area of relative strength: the provider ranks #4960 of 61347 nationally (92th percentile; notably above typical national volume for this code), indicating above-typical national volume for high-acuity ED visits even though absolute Medicare revenue is modest. At the same time, total lifetime Medicare revenue of $84.3K suggests that strong relative ranking on one code does not translate into large overall Medicare revenue compared with many peers.

    Other top codes show a mixed competitive picture: 99284 is ranked #8560 of 64306 (86th percentile; typical, unremarkable volume) while 99291 is #38945 of 71290 (44th percentile; typical, unremarkable volume). Nursing-facility codes 99306 (#7505 of 12836, 41th percentile) and 99310 (#8942 of 12486, 27th percentile) are lower-ranked, but G0317 (#382 of 1377, 72th percentile) shows relatively elevated use of prolonged NF E/M compared with peers, suggesting more time-intensive SNF encounters when they occur.

    Operationally, the provider bills frequent point-of-care testing and basic imaging alongside E/M: examples include 87804 (48 claims, $768 revenue), 87880 (20 claims, $320 revenue), 71046 (29 claims, $609 revenue) and 81002 (126 claims, $378 revenue). This mix supports an on-site, acute-evaluation workflow (rapid flu/strep testing, chest x-ray, urine dipstick) consistent with emergency or urgent care style encounters in addition to SNF visits.

    The NPI tenure is long-standing (NPI enumerated 2006-09-27 (~20 years ago)), but lifetime Medicare revenue of $84.3K is modest for that duration, which could reflect part-time practice, locum/episodic coverage, a small Medicare patient panel, or that significant activity happens outside Medicare. Analysts should not assume large ongoing Medicare volume based solely on enumeration date; follow-up on practice setting and payer mix beyond Medicare would clarify capacity and strategy.

    There are some notable billing artifacts worth reviewing: J1100 shows 150 claims with $0 revenue, which may reflect bundled drug administration, reporting conventions, or non-covered supply entries rather than positive payments, and several high-count low-reimbursement items (for example 81002 at 126 claims for $378 total) indicate frequent low-dollar point-of-care billing. These patterns warrant a records-level review if payment detail or contract modeling is required, because high claim counts with minimal paid amounts can materially affect encounter counts without much revenue impact.

    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
    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.330$140$46.3K
    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.130$90$12.5K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$180$6.9K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…40$140$5.7K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…30$120$4K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…120$20$2.9K
    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…30$80$2.2K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.30$60$1.9K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.50$20$770
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…30$20$610

    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. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9928511080$130$17.4K
    99309210110$80$8.5K
    9928411090$90$6.9K
    9929131020$170$6.4K
    9930611040$140$5.7K
    9931011030$120$4K
    G0317110120$20$2.9K
    9928321030$50$1.7K
    8780421050$20$960
    7104611030$20$560

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aned OrbezoFLFamily Medicine Physician$580.2K$0
    Laurie TaceyFLFamily Nurse Practitioner$379.8K$0
    Maria DizhgalvisNYAcute Care Nurse Practitioner$372.2K$3.8K
    Lauren GuseNYFamily Nurse Practitioner$330.5K$570
    Tareq SaghirFLHospitalist Physician$318.6K$0
    Taher SaghirFLHospitalist Physician$313.7K$0
    Holly HenryFLNurse Practitioner$220.8K$0
    Karlee ClarkFLNurse Practitioner$216.7K$0
    Alexandria KellenFLGerontology Nurse Practitioner$208.4K$0
    Joelle Innocent-simonFLFamily Medicine Physician$205.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark HeinoAE (Armed Forces Europe)Family Medicine Physician$31.3K$136.8K
    Immacula NezierAE (Armed Forces Europe)Women's Health Nurse Practitioner$68.4K$0
    Delila DonaldsonAE (Armed Forces Europe)Clinical Social Worker$18.2K$36.4K
    Eric ButtersAE (Armed Forces Europe)Family Nurse Practitioner$2.6K$18.5K
    Linda SchemmAE (Armed Forces Europe)Physical Therapist$19.5K$0
    Hilary StampAE (Armed Forces Europe)Pediatrics Physician$0$19.1K
    Samuel KjomeAE (Armed Forces Europe)Family Medicine Physician$16.2K$0
    Michelle SangerAE (Armed Forces Europe)Physician Assistant$13.9K$0
    Claire SchmidtAE (Armed Forces Europe)Optometrist$13.8K$0
    Jennifer ChowAE (Armed Forces Europe)Child & Adolescent Psychiatry Physician$10.7K$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. Armed Forces Europe Distribution
    Joshua Latham — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe