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NPI 1447565775 · Athens, AL · Sports Medicine (Orthopaedic Surgery) Physician
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James Stanford is a sports medicine (orthopaedic surgery) physician provider located in Athens, Alabama. This profile covers 23 Medicare and 2 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 Stanford |
| Address | 22454 Hwy 72 W |
| City | Athens |
| State | AL |
| ZIP | 35613 |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| NPI Enumerated | August 11, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $144.2K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 570 | $60 | $34.8K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 30 | $950 | $32.4K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 230 | $70 | $16.4K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 370 | $40 | $15.3K |
| 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… | 160 | $70 | $11.5K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 20 | $300 | $5K |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 90 | $60 | $4.9K |
| 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… | 50 | $80 | $4.1K |
| 73560 | In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 130 | $20 | $3.2K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 100 | $30 | $2.8K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 71 | 210 | 30 | $710 | $23.4K |
| 99214 | 5,308 | 7,330 | 120 | $80 | $16.8K |
| 64721 | 39 | 60 | 30 | $400 | $14.6K |
| 99213 | 258 | 6,470 | 80 | $50 | $7.9K |
| 20611 | 9 | 130 | 50 | $70 | $6.3K |
| J7321 | 6 | 10 | 80 | $60 | $5.4K |
| 20610 | 31 | 600 | 60 | $50 | $5.1K |
| 99203 | 81 | 2,210 | 30 | $70 | $3.1K |
| 99212 | 524 | 1,240 | 30 | $30 | $2.1K |
| 73562 | 57 | 340 | 40 | $20 | $1.5K |
Showing 1–10 of 23
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10 | $0 | $0 |
| 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… | 60 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
2 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… | 1,588 | 1,990 | 560 | $40 | $185.6K |
| 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… | 643 | 660 | 80 | $50 | $26.8K |
Other providers in the same ZIP code as James Stanford, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hometown Pediatrics LLC | AL | Pediatrics Physician | $0 | $4.3M |
| Lindsey Rodriguez Dmd, LLC | AL | Pediatric Dentistry | $0 | $1.1M |
| John Boyett | AL | Orthopaedic Surgery Physician | $303.8K | $0 |
| Stevon Boyett | AL | Physical Medicine & Rehabilitation Physician | $274.1K | $0 |
| Diagnostic Health Mri Of Gadsden, LLC | AL | Radiology Clinic/Center | $205.4K | $0 |
| Joseph Boyett | AL | Sports Medicine (Orthopaedic Surgery) Physician | $196K | $0 |
| Eric Hatfield | AL | Sports Medicine (Family Medicine) Physician | $152.6K | $0 |
| William Lawrence | AL | Orthopaedic Surgery Physician | $135.3K | $0 |
| Shearon Craig | AL | Physical Therapist | $89.7K | $0 |
| Paul Papajohn | AL | Specialist | $75.1K | $0 |
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