Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James Nemec (NPI 1457321341)

Field	Value
Entity Type	Individual
Organization	James Nemec
Address	9228 S Mingo Rd
City	Tulsa
State	OK
ZIP	74133
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicare	$34.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	440	$50	$23.5K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	380	$20	$5.7K
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	440	$10	$4.4K
78803	The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…	40	$40	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

James Nemec — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78452	7	170	80	$80	$10.1K
93016	4	150	70	$20	$1.5K
78803	2	10	20	$40	$1.2K
93018	5	180	80	$10	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Oklahoma Heart LLC	OK	Specialist	$0	$3.4M
David Sandler	OK	Clinical Cardiac Electrophysiology Physician	$397.7K	$0
Elie Abed	OK	Endocrinology, Diabetes & Metabolism Physician	$283.4K	$0
Craig Cameron	OK	Clinical Cardiac Electrophysiology Physician	$261.6K	$0
John Tulloch	OK	Cardiovascular Disease Physician	$231.3K	$0
James Chapman	OK	Interventional Cardiology Physician	$229.1K	$0
Siva Kumar Soma	KS	Clinical Cardiac Electrophysiology Physician	$220.9K	$0
Joseph Gard	OK	Clinical Cardiac Electrophysiology Physician	$212.8K	$0
Mathew Good	OK	Cardiovascular Disease Physician	$204.8K	$0
Cole Tunnell	TX	Interventional Cardiology Physician	$201.2K	$0

James Nemec — Billing Profile & Reimbursement Data

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James Nemec — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References