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

    NPI 1447693833 · Athens, GA · Pain Medicine (Anesthesiology) Physician

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    James Ashford is a pain medicine (anesthesiology) physician provider located in Athens, Georgia. This profile covers 21 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 Ashford
    Address1000 Hawthorne Ave Ste J
    CityAthens
    StateGA
    ZIP30606
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedApril 16, 2013

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

    Payer SourceTotal Paid
    Medicare$472.6K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…2,130$60$132.2K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…470$150$71.3K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…320$200$61.8K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…290$100$28.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…580$50$26.1K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…730$40$25.7K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…100$240$23.5K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…450$50$22.4K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…120$170$20.5K
    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…110$120$12.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G04833660120$240$99.9K
    G0482118070$190$36.8K
    G0481812080$150$36.5K
    994871710070$100$23.4K
    J33003103,750$1$19.8K
    9921413,39513,640120$80$17.8K
    6449326632060$190$16.8K
    994891480130$50$16.1K
    9949090680160$40$15.1K
    6449011018040$200$9.9K

    Showing 1–10 of 21

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Athens Kids Specialists, PCGAPediatrics Physician$0$5.2M
    Reddy Urgent Care LLCGAUrgent Care Clinic/Center$0$2.6M
    Jeremy WellsGAHematology & Oncology Physician$1.5M$0
    Subodh AgrawalGACardiovascular Disease Physician$1.1M$0
    Athens Spine Procedural Center LLCGAAmbulatory Surgical Clinic/Center$1.1M$0
    Athens Orthopedic Clinic Ambulatory Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$1.1M$0
    Trinity Ems Transport LLCGALand Ambulance$1.1M$0
    Gordon SchoenfeldGARadiation Oncology Physician$834K$0
    Cole SteberGARadiation Oncology Physician$776.6K$0
    Ronald TerryGARadiation Oncology Physician$600.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    James Ashford — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia