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

    NPI 1326195504 · Mount Airy, NC · Foot & Ankle Surgery Podiatrist

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    James Shipley is a foot & ankle surgery podiatrist provider located in Mount Airy, North Carolina. This profile covers 19 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 Shipley
    Address367 S Andy Griffith Pkwy Ste 200
    CityMount Airy
    StateNC
    ZIP27030
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicare$287.8K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4197Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)1,250$120$153.8K
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.140$330$44K
    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…210$90$18.4K
    0598TThe provider uses real–time fluorescence imaging in a darkened clinical setting to examine a wound. The provider uses this imaging to identify and locate bacterial infection in the wound and to…150$110$17K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…90$120$11.2K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral120$50$6.6K
    99204The provider sees a new 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 provider…50$110$5.3K
    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…80$60$5.1K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…30$150$5.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$40$4K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q41972101,970$130$252.9K
    9761011080$330$26.9K
    992145,53418,060110$80$15.1K
    0598T21090$120$11.2K
    11721207250190$30$9.9K
    11056143210100$50$8.4K
    1172088160190$20$7.7K
    992137,07616,32070$50$7.1K
    1527552050$100$6.8K
    9392510326030$120$6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Renee Shepherd-smithNCFoot & Ankle Surgery Podiatrist$859.7K$0
    Kevin BachmanNCFoot & Ankle Surgery Podiatrist$761.6K$0
    Tyler HaganNCFoot & Ankle Surgery Podiatrist$248.8K$0
    Ashma DavidsonNCPrimary Podiatric Medicine Podiatrist$235K$0
    Kevin KillianNCPodiatrist$180.5K$0
    Wesley JacksonFLFoot & Ankle Surgery Podiatrist$179.6K$0
    Jeffrey HunterNCPrimary Podiatric Medicine Podiatrist$154K$0
    Kevin MolanNCPrimary Podiatric Medicine Podiatrist$147.1K$0
    Ainsley RusevlyanNCPodiatrist$117.4K$17.9K
    Wagner SantiagoNCPrimary Podiatric Medicine Podiatrist$133.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Hospital Of Surry CountyNCGeneral Acute Care Hospital$0$16.4M
    Behavioral Services, Inc.NCCommunity/Behavioral Health Agency$0$12.8M
    Easter Seals Ucp North Carolina & Virgina, Inc.NCCommunity/Behavioral Health Agency$0$11.2M
    American Healthcare Services, Inc.NCIn Home Supportive Care Agency$0$7.8M
    Northern Hosptial Of Surry CountyNCPediatrics Physician$0$7.8M
    County Of Surry & Surry County Welfare DepartmentNCLand Ambulance$819.1K$2.3M
    Jan KriskaNCSleep Medicine (Internal Medicine) Physician$219.2K$0
    Michael CullerNCPhysician Assistant$157.4K$0
    Innovative Meds RxNCCommunity/Retail Pharmacy$127.4K$11.4K
    David WerleNCUrology Physician$78.1K$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. North Carolina Distribution
    James Shipley — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina