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

    NPI 1437176997 · Saint Louis, MO · Vascular & Interventional Radiology Physician

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    James Duncan is a vascular & interventional radiology physician provider located in Saint Louis, Missouri. This profile covers 12 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 Duncan
    Address510 S Kingshighway Blvd
    CitySaint Louis
    StateMO
    ZIP63110
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedJuly 17, 2006

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

    Payer SourceTotal Paid
    Medicare$15.1K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…10$200$2.9K
    49440In this procedure, the provider inserts a gastrostomy tube through the skin using fluoroscopic guidance. The provider may use this treatment for patients suffering from abnormalities of the mouth,…20$150$2.2K
    49406The provider uses imaging guidance to direct a catheter through a small incision in the skin to a peritoneal or retroperitoneal area. Once the catheter is properly positioned, the area is drained.10$140$1.9K
    36556The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.20$60$1.5K
    49423In this procedure the provider removes an already existing catheter that a provider is using to drain an abdominal cyst or an abscess, and replaces it with a new drainage catheter.30$50$1.4K
    75984In this procedure, the provider performs imaging supervision and interpretation for the replacement of a previously placed percutaneous tube or catheter that is damaged.30$30$1K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…100$10$980
    49450Under fluoroscopic guidance, the provider replaces the existing gastrostomy tube, cecostomy tube, or other colon tube through the skin. Providers may exchange the tube when the existing tube becomes…20$50$750
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…50$10$740
    76080The provider performs supervision and interpretation of an abscess, fistula, or sinus tract imaging study.30$20$620

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36558537020$190$3.9K
    4944041020$160$2.4K
    4940651020$150$2.2K
    365563820020$60$1.2K
    4942321030$50$1.1K
    7598462020$30$830
    9915211843050$10$790
    4945011020$50$760
    4942462030$20$590
    7608062030$20$560

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael FriedmanILDiagnostic Radiology Physician$145.5K$436.8K
    Chester HarrisonILDiagnostic Radiology Physician$178.2K$383.2K
    Parvish ShahILDiagnostic Radiology Physician$111.5K$422.7K
    Jason CarmichaelILDiagnostic Radiology Physician$133.1K$327K
    Matthew DonaldsonILDiagnostic Radiology Physician$137.6K$269.3K
    Jeffrey DickeMOMaternal & Fetal Medicine Physician$4K$365.5K
    James CameronMODiagnostic Radiology Physician$8.8K$328.6K
    Linda ProctorMODiagnostic Radiology Physician$286.6K$0
    Michael JenneweinILDiagnostic Radiology Physician$67.6K$216.2K
    Matthew ParsonsMONeuroradiology Physician$160.1K$69.1K

    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. Missouri Distribution
    James Duncan — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri