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

    NPI 1326426610 · Fort Hood, TX · Emergency Medicine Physician

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    James Gragg is a emergency medicine physician provider located in Fort Hood, Texas. This profile covers 12 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 Gragg
    Address36000 Darnall Loop
    CityFort Hood
    StateTX
    ZIP76544
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedMay 7, 2015

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

    Payer SourceTotal Paid
    Medicare$9.4K
    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.

    12 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.20$130$2.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$130$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.10$90$1.1K
    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…20$60$1.1K
    99203The provider sees a new 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 provider…10$80$1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…10$40$420
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.10$30$310
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.20$10$220
    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…20$10$190
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…10$10$150

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285174,26080$130$16.7K
    8005392,650130$10$10.6K
    99215188,73040$120$9.2K
    992139329,79070$60$8.4K
    8502582,910110$10$6.6K
    99284184,62050$90$5.7K
    36415136,270100$10$4.5K
    992033010,82030$70$3.4K
    93000194,79050$10$1.6K
    96374219030$30$1.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acs Primary Care Physicians Southwest, PATXEmergency Medicine Physician$0$11.8M
    Jacquelyn HopkinsTXFamily Nurse Practitioner$1.6M$0
    Tanya Mckenley-dennisTXNurse Practitioner$1.4M$0
    Manuel GalanTXFamily Nurse Practitioner$1.4M$0
    Gregory MessnerTXThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$1M$0
    Nina WilsonTXFamily Nurse Practitioner$771K$0
    Lavanya BodduTXEmergency Medicine Physician$41.9K$511.6K
    Christina KammererTXEmergency Medicine Physician$219.4K$0
    Le TchenTXPhysician Assistant$210.1K$0
    Daniel VerretTXFacial Plastic Surgery Physician$203.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James JacksonTXPhysician Assistant$19.4K$0
    George CassidyAA (Armed Forces Americas)Physician Assistant$5K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    James Gragg — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas