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

    NPI 1417066226 · Tupelo, MS · Clinical Cardiac Electrophysiology Physician

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    James Stone is a clinical cardiac electrophysiology physician provider located in Tupelo, Mississippi. This profile covers 40 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 Stone
    Address499 Gloster Creek Vlg Ste A2
    CityTupelo
    StateMS
    ZIP38801
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedAugust 29, 2006

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

    Payer SourceTotal Paid
    Medicare$453.8K
    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,710$80$138.2K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…90$570$50.6K
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…50$680$30.7K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.90$340$29.9K
    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…230$120$26.3K
    33249The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…40$650$25.8K
    93650In this procedure, the provider destroys the muscle fibers that conduct electrical impulses in the heart to treat an abnormal heart rhythm. He accesses the heart through a catheter inserted through…40$420$17.2K
    93653A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…20$610$11.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…190$60$11.2K
    33225In this add–on procedure, the provider introduces an additional pacing electrode for left ventricular pacing through a vein and advances it to the left ventricle at the same time as he inserts an…30$340$10.4K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3328573020$1,900$62.5K
    9365641030$690$24.7K
    99214444,110170$70$21.9K
    3334012020$560$19K
    9365341020$620$14.9K
    3320824020$500$14.4K
    3324911020$640$13.5K
    9365011030$410$13.2K
    992325041,490100$60$12.9K
    9365531030$220$8K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Medical Center, Inc.MSGeneral Acute Care Hospital$0$117.7M
    William CarrollMSCardiovascular Disease Physician$1.1M$0
    John EstessMSCardiovascular Disease Physician$953.3K$0
    William CalhounMSCardiovascular Disease Physician$861.1K$0
    Douglas HillMSCardiovascular Disease Physician$777.8K$0
    James JohnsonMSCardiovascular Disease Physician$708.5K$0
    Barry BertoletMSCardiovascular Disease Physician$667.9K$0
    Nelson LittleMSCardiovascular Disease Physician$597.2K$0
    Karthik Venkatesh PrasadMSClinical Cardiac Electrophysiology Physician$368K$0
    Amy BallardMSSurgical Physician Assistant$304.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Medical Clinics IncMSInternal Medicine Physician$0$16.9M
    Happy Smiles Dentistry - Tupelo LLCMSGeneral Practice Dentistry$0$16.2M
    North Mississippi Ambulatory Surgery Center LLCMSAmbulatory Surgical Clinic/Center$1.5M$7.1M
    Relias Emergency Medicine Specialists Of Tupelo LLCMSEmergency Medicine Physician$0$8.4M
    Sog Surgery Center LLCMSAmbulatory Surgical Clinic/Center$7.5M$480
    Prescribed Pediatric Extended Care, IncMSMedically Fragile Infants and Children Day Care$0$7.2M
    Kare-in-home Hospice Of North Mississippi, LLCMSCommunity Based Hospice Care Agency$0$5M
    North Mississippi Allergy And Asthma Center PLLCMSAllergy & Immunology Physician$0$4.3M
    Sanders Clinic For Women PAMSObstetrics & Gynecology Physician$0$3.8M
    Magnolia Manor Of TupeloMSPreferred Provider Organization$0$3.4M

    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. Mississippi Distribution
    James Stone — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi