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

    NPI 1548278245 · Melbourne, FL · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    James Raders is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Melbourne, Florida. This profile covers 23 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 Raders
    Address1421 Malabar Rd Ne Ste 245
    CityMelbourne
    StateFL
    ZIP32907
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedAugust 4, 2006

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

    Payer SourceTotal Paid
    Medicare$257.9K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…420$100$40.1K
    51792This procedure measures the electrical activity in the anal or urethral sphincter muscles.190$180$33.8K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…100$290$27.6K
    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…180$120$22.1K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.40$500$20.1K
    57425The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.30$730$19.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$170$17.4K
    51725A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.160$90$14.3K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.90$140$13.5K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…20$570$9.7K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590398020$6,330$151.8K
    64561328030$2,080$95.8K
    992146,94932,760140$90$25K
    51715183020$550$19.2K
    5200027467080$160$17.4K
    5854261020$810$16.2K
    57425123020$680$15.7K
    517292014030$290$13.2K
    57288306020$490$12.2K
    9921320,22930,01080$60$12K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health First Medical Group, LLCFLGeneral Practice Physician$0$7.7M
    Julie BellFLAnatomic Pathology & Clinical Pathology Physician$3.3M$0
    Ashish DalalFLMedical Oncology Physician$3M$0
    Amit BarochiaFLMedical Oncology Physician$2.4M$0
    Boris HavkinFLUrology Physician$2.3M$0
    Shawn CarterFLNuclear Medicine Physician$2.2M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Brendan PrendergastFLRadiation Oncology Physician$1.5M$0
    Ravi ShankarFLRadiation Oncology Physician$1.4M$0
    Solomon ZimmFLMedical Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Florida Kidney Centers IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$10.8M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$10.1M
    Holmes Regional Medical Center, IncFLGeneral Acute Care Hospital$0$7.2M
    Kantilal BhalaniFLFamily Medicine Physician$34K$2.1M
    Ruben MorenoFLMOHS-Micrographic Surgery Physician$489.9K$0
    Gonzalo ValdiviaFLOrthopaedic Surgery Physician$277.3K$0
    Judson LewisFLCritical Care Medicine (Internal Medicine) Physician$210.3K$0
    Jacquelyn MerrillFLGerontology Nurse Practitioner$169.4K$0
    Mark VaughnFLFoot & Ankle Surgery Podiatrist$165.7K$0
    John LaydenFLCardiovascular Disease Physician$112.2K$4.3K

    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. Florida Distribution
    James Raders — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida