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

    NPI 1396730776 · San Antonio, TX · Otolaryngology Physician

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    James Atkins is a otolaryngology physician provider located in San Antonio, Texas. This profile covers 17 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 Atkins
    Address15900 La Cantera Pkwy
    CitySan Antonio
    StateTX
    ZIP78256
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 13, 2005

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

    Payer SourceTotal Paid
    Medicare$310.4K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.30$3,390$105.1K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…40$1,650$66K
    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…400$60$25.4K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.140$140$20K
    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$80$17.2K
    31296The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the frontal sinus.10$1,550$17K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.170$100$15.8K
    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…180$70$13K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.20$290$6.7K
    61782In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…50$130$6.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31298114020$3,700$99.9K
    3129585020$1,610$45K
    3129651020$1,620$25.8K
    9921410,50732,500110$80$17.6K
    312315645050$130$10.2K
    30520156020$430$9K
    3125531030$310$8.9K
    992132,41029,79070$60$8.4K
    30140248020$280$7.8K
    950042523801,220$1$5.2K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bridget HerschapTXAnatomic Pathology & Clinical Pathology Physician$265.4K$1M
    Aamir EhsanTXAnatomic Pathology & Clinical Pathology Physician$695.5K$113.3K
    Us Cardio Of Sa, LLCTXAmbulatory Surgical Clinic/Center$762.1K$0
    Alma Sanchez-salazarTXAnatomic Pathology & Clinical Pathology Physician$338K$0
    Tomy StarckTXOphthalmology Physician$288.4K$0
    Brenda LyTXAnatomic Pathology & Clinical Pathology Physician$119.8K$0
    Corepath Laboratories, P.A.TXClinical Medical Laboratory$119.5K$0
    Sara HyattTXOptometrist$46.6K$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 Atkins — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas