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    Adam James — Billing Profile & Reimbursement Data

    NPI 1508206103 · Beltsville, MD · Physical Therapist

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    Adam James is a physical therapist provider located in Beltsville, Maryland. This profile covers 5 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAdam James
    Address4600 Powder Mill Rd Ste 150
    CityBeltsville
    StateMD
    ZIP20705
    TaxonomyPhysical Therapist
    NPI EnumeratedJune 27, 2013

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

    Payer SourceTotal Paid
    Medicare$46.8K
    Medicaid$8.7K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.460$30$13.9K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…600$20$11.3K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…450$20$10.3K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…70$90$6.4K
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.230$20$4.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975308511,950400$30$16.2K
    971101,0062,170540$20$14.9K
    971127431,910350$20$11.5K
    971621271,09030$80$3.1K
    9754211090$20$2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…200$40$8.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…423570810$30$138K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Rehabilitation Hospital IncDCRehabilitation Hospital$0$16.9M
    Suburban/nrh Medical Rehabilitation IncDCRehabilitation Clinic/Center$0$1.8M
    Nkiruka AreneMDPhysical Medicine & Rehabilitation Physician$624.1K$0
    Mandip ParmarMDPain Medicine (Physical Medicine & Rehabilitation) Physician$422.7K$0
    National Rehabilitation Hospital IncDCPhysical Medicine & Rehabilitation Physician$0$407.6K
    National Rehabilitation Hospital, IncDCRehabilitation Clinic/Center$0$405.7K
    Willie YuMDPain Medicine (Physical Medicine & Rehabilitation) Physician$379K$15.9K
    Patricia Ayd-boydMDPhysical Therapist$290.7K$0
    Nabil KhawandMDUrology Physician$177.6K$23.3K
    Robert DawsonMDPhysical Therapist$200.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frontline Community Services IncMDCase Management Agency$0$100.8M
    Worldshine Care LLCMDAdult Day Care Clinic/Center$0$24.3M
    Rose OmaMDSpeech-Language Pathologist$0$20.8M
    Heartland Hospice Services LLCMDCommunity Based Hospice Care Agency$0$20.6M
    Theranostix IncMDClinical Medical Laboratory$5.1M$5.3M
    Alight Supports, IncMDDevelopmental Disabilities Clinic/Center$0$8M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$4.8M
    Tehmina AliMDAnatomic Pathology Physician$1.7M$0
    Mobile Medical Imaging, LLCMDPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$782.2K$126.5K
    Ayim Akyea DjamsonMDSpecialist$622.3K$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.

    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. Maryland Distribution
    Adam James — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Adam James — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland