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

    NPI 1356536783 · Bruceton Mills, WV · Family Medicine Physician

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    James Mallett is a family medicine physician provider located in Bruceton Mills, West Virginia. 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 Mallett
    Address1 Memorial Dr
    CityBruceton Mills
    StateWV
    ZIP26525
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 10, 2007

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

    Payer SourceTotal Paid
    Medicare$18.6K
    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…180$50$8.2K
    0241UN/A30$140$4.5K
    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…50$70$3.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg180$1$720
    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$60$720
    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…80$10$550
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.50$10$380
    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…30$10$260
    69209The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.10$10$110
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…50$1$90

    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
    992141,9322,740100$70$11.8K
    992137012,86080$50$7.5K
    0241U82020$140$3.8K
    850255470110$10$3.6K
    9920381594030$60$2.8K
    3641521234080$10$1.7K
    963727633040$10$620
    J070264070$1$490
    69209132010$10$140
    810035331030$1$100

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Physicians Care IncWVFamily Medicine Physician$0$18.5M
    Abdulmalek SabbaghWVCardiovascular Disease Physician$208.6K$0
    Cathy FunkWVInternal Medicine Physician$175.6K$0
    John AngottiWVInternal Medicine Physician$162.3K$0
    James MaloneWVFamily Medicine Physician$160.6K$0
    Ebrahim SabbaghWVInterventional Cardiology Physician$156.8K$0
    Michael JohnsonWVFamily Medicine Physician$155.9K$0
    Isha WoofterWVFamily Medicine Physician$120.9K$0
    Kelly NelsonWVFamily Medicine Physician$114.2K$0
    Dominick WoofterWVFamily Medicine Physician$111.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher UngerWVPhysical Therapist$30.7K$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. West Virginia Distribution
    James Mallett — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia