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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Gilmore
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    James Gilmore — Billing Profile & Reimbursement Data

    NPI 1477560050 · Corinth, MS · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    James Gilmore is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Corinth, Mississippi. This profile covers 10 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 Gilmore
    Address611 Alcorn Dr Ste 200
    CityCorinth
    StateMS
    ZIP38834
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedAugust 3, 2006

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

    Payer SourceTotal Paid
    Medicare$38.6K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33533Coronary artery bypass, using arterial graft(s); single arterial graft20$740$17.8K
    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…70$60$4.6K
    99214The 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$90$4.5K
    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…30$120$3.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…10$130$1.7K
    33517The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…10$80$1.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$60$960
    33508The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.30$10$130

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33533143020$960$25K
    992143,1344,110170$70$21.9K
    992321,4361,490100$60$12.9K
    992231,0861,22050$120$10.4K
    992132,3714,000100$50$10.3K
    992041,3802,15040$100$5.8K
    9922245191030$90$4.8K
    33518112010$220$3.6K
    3351721010$110$1.3K
    3350841020$10$190

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Magnolia Regional Health CenterMSGeneral Acute Care Hospital$0$29.3M
    Magnolia Ambulance ServicesMSAmbulance$1.1M$1.4M
    Mandar JagtapMSCardiovascular Disease Physician$862.5K$0
    Joseph PrattMSFamily Medicine Physician$729.5K$0
    Mark BlackwoodMSObstetrics & Gynecology Physician$10.5K$711.7K
    Brodie McalpinMSPulmonary Disease Physician$632.4K$0
    Kerry MorganMSCardiovascular Disease Physician$496.9K$0
    Tejinder SainiTNPsychiatry Physician$402K$65.7K
    Kumar YogeshTNPulmonary Disease Physician$91.6K$325.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Magnolia Regional Health CenterMSPediatrics Physician$0$7.5M
    Magnolia Physician Services, IncMSInternal Medicine Physician$0$4.1M
    Anchor Rehabilitation LLCMSPhysical Therapist$0$4.1M
    Physicians Urgent Care Of Corinth, LLCMSGeneral Practice Physician$0$3.5M
    Robert PerryMSOrthodontics and Dentofacial Orthopedics Dentistry$0$3.4M
    Bruce BoydMSPrimary Podiatric Medicine Podiatrist$1.8M$893.1K
    Dental Arts Of CorinthMSGeneral Practice Dentistry$0$2.2M
    Specialty Surgery & Laser CenterMSAmbulatory Surgical Clinic/Center$1.9M$261.4K
    Magnolia Regional Health CenterMSInternal Medicine Physician$0$2M
    Renal Care Group Tupelo, LLCMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.7M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    James Gilmore — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi