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

    NPI 1407078827 · Saint Louis, MO · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    James Scharff is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Saint Louis, Missouri. This profile covers 9 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 Scharff
    Address3023 N Ballas Rd Ste 150d
    CitySaint Louis
    StateMO
    ZIP63131
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedMay 3, 2007

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

    Payer SourceTotal Paid
    Medicare$82.7K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33427The provider performs a valvuloplasty, which is a surgical repair of the mitral valve or subvalvular structures to correct mitral stenosis or subvalvular fibrosis with the patient on a heart–lung…20$1,830$29.3K
    33533Coronary artery bypass, using arterial graft(s); single arterial graft20$1,050$22.1K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…40$580$20.2K
    99205The provider sees a new 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 provider…20$170$3.2K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…10$290$3.2K
    33517The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…20$130$2K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…30$40$1.3K
    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…10$110$1.2K
    33508The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.20$10$210

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3342711020$1,870$29.9K
    33533205020$1,030$23.8K
    33361157030$570$15.4K
    992044,1524,36030$100$4.8K
    992056021,01020$140$4.7K
    33518212020$280$4.7K
    3351741010$130$2.1K
    G01803219020$40$1K
    33508184020$10$220

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pramod MenonLAInterventional Cardiology Physician$586.2K$0
    Faye RaoALCardiovascular Disease Physician$376K$0
    Shiraz DaudMOPulmonary Disease Physician$314.8K$0
    Peter RaoALInterventional Cardiology Physician$300.9K$0
    Balaji ShanmugamFLInterventional Cardiology Physician$257.1K$0
    Shannon Campbell NedelkaNHDiagnostic Radiology Physician$98.9K$152.2K
    Rabia AsgharMOEndocrinology, Diabetes & Metabolism Physician$187.5K$39.9K
    John StirtonILOrthopaedic Surgery Physician$202.4K$20.2K
    Nitin MalhotraILVascular Surgery Physician$221.2K$0
    David OneillILFamily Medicine Physician$188.2K$27.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Alternatives Missouri, Inc.MODevelopmentally Disabled Services Day Training Agency$0$48.8M
    Nextra Health, Inc.MODurable Medical Equipment & Medical Supplies$0$25.4M
    Support Innovations Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.8M
    Special School District Of St. Louis CountyMOLocal Education Agency (LEA)$0$4.8M
    Sona KamatMORheumatology Physician$4.1M$0
    Des Peres Eye Surgery Center, LLCMOAmbulatory Surgical Clinic/Center$3.5M$162.2K
    Family Hire LLCMOIn Home Supportive Care Agency$0$3.6M
    Richard DivalerioMORheumatology Physician$1.4M$0
    Ying DuMORheumatology Physician$1.4M$0
    Lizette AlvarezMOPhysical Medicine & Rehabilitation Physician$1.3M$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. Missouri Distribution
    James Scharff — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri