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NPI 1437101524 · Mt Juliet, TN · Physical Medicine & Rehabilitation Physician
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James Eby is a physical medicine & rehabilitation physician provider located in Mt Juliet, Tennessee. This profile covers 34 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Eby |
| Address | 77 Belinda Pkwy Ste 201 |
| City | Mt Juliet |
| State | TN |
| ZIP | 37122 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | May 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $309.5K |
| Medicaid | $22.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 320 | $190 | $61.7K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $1,180 | $39K |
| 99213 | The 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… | 610 | $60 | $36.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 80 | $440 | $33.1K |
| 99214 | The 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… | 200 | $90 | $17.2K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 70 | $240 | $17K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 100 | $160 | $15.7K |
| 99203 | The 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… | 110 | $70 | $8.1K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 40 | $180 | $7.9K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 270 | $30 | $7.3K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63650 | 32 | 40 | 50 | $1,650 | $123.8K |
| 64483 | 16 | 150 | 70 | $190 | $25.8K |
| 64635 | 36 | 150 | 40 | $360 | $25.6K |
| 64493 | 48 | 160 | 60 | $180 | $16.9K |
| 99214 | 3,994 | 11,370 | 120 | $80 | $16.6K |
| 62323 | 90 | 150 | 50 | $150 | $14.8K |
| 64633 | 56 | 60 | 30 | $350 | $13.1K |
| 95886 | 65 | 120 | 80 | $60 | $9.8K |
| 64490 | 51 | 90 | 40 | $180 | $9.5K |
| 99213 | 390 | 11,030 | 80 | $50 | $8K |
Showing 1–10 of 34
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 720 | $20 | $12.9K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 90 | $90 | $8.4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 160 | $10 | $970 |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 10 | $20 | $260 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 1,908 | 4,050 | 620 | $30 | $183.9K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 29 | 40 | 210 | $90 | $49.7K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 134 | 140 | 120 | $10 | $5.9K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 100 | 190 | 200 | $1 | $2.5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 368 | 620 | 220 | $1 | $1.1K |
Other providers in the same ZIP code as James Eby, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Manor Respiratory Care LLC | TN | Oxygen Equipment & Supplies (DME) | $0 | $4.2M |
| German Castillo | TN | Pediatric Dentistry | $0 | $3.2M |
| Bluespring Behavioral Health LLC | TN | Community/Behavioral Health Agency | $0 | $2.7M |
| Son Le | TN | Physical Medicine & Rehabilitation Physician | $352.2K | $0 |
| Billy Kim | TN | Vascular Surgery Physician | $198.6K | $0 |
| Michael Belsante | TN | Urology Physician | $182.5K | $0 |
| Seth Banks | TN | Internal Medicine Physician | $181.6K | $0 |
| Bernard Pare' | TN | Family Medicine Physician | $180.1K | $0 |
| Tenn Sm LLC | TN | Ambulatory Surgical Clinic/Center | $146.8K | $22.5K |
| Peninnah Kumar | TN | Podiatrist | $167.3K | $0 |
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