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

    NPI 1558318808 · Hartford, CT · Pulmonary Disease Physician

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    James Pope is a pulmonary disease physician provider located in Hartford, Connecticut. This profile covers 11 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 Pope
    Address85 Seymour St
    CityHartford
    StateCT
    ZIP06106
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 30, 2006

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

    Payer SourceTotal Paid
    Medicare$127K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…410$180$72.3K
    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…200$100$19.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…110$100$10.6K
    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…80$70$5.5K
    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…80$70$5.4K
    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…40$130$5.3K
    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…30$150$4.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$140$2.2K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.20$50$950
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…20$30$650

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,6266,48090$90$14.2K
    9929121,13040$180$10.6K
    992335171,67060$100$10K
    992321,1482,53070$60$8.4K
    992132,9726,44070$60$8.1K
    992238551,66030$140$7.3K
    992151,5181,84030$130$6.7K
    992047522,66030$120$4.6K
    9472913116050$30$2K
    947277610040$30$1.7K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartford HospitalCTGeneral Acute Care Hospital$0$316.3M
    Windham Community Memorial Hospital, Inc.CTGeneral Acute Care Hospital$0$69.5M
    Hartford Healthcare Medical Group Specialists, PLLCCTSurgery Physician$0$46M
    Starling Physicians, PLLCCTInternal Medicine Physician$0$38.1M
    Hartford HospitalCTSurgery Physician$0$27.5M
    Hartford Healthcare Medical Group, IncCTSurgery Physician$0$22.4M
    Starling Physicians, PLLCCTClinical Medical Laboratory$809.9K$4.4M
    John HuangCTOphthalmology Physician$2M$0
    Philip SimkovitzCTCritical Care Medicine (Internal Medicine) Physician$589.2K$506K
    Pouyan ChangizzadehCTHematology & Oncology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connecticut Children's Medical CenterCTChildren's Hospital$0$248.8M
    Hartford DispensaryCTSubstance Use Disorder Rehabilitation Clinic/Center$1.6M$122.8M
    Connecticut Children's Specialty Group, Inc.CTPediatrics Physician$0$59.8M
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$42.5M
    Hartford DispensaryCTMental Health Clinic/Center (Including Community Mental Health Center)$0$26.1M
    Aetna Ambulance Service, IncCTLand Ambulance$2.9M$22.2M
    Home Care Vna, LLCCTHome Health Agency$0$12.4M
    Connecticut Gi PLLCCTGastroenterology Physician$0$12M
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$8M
    Dierks Dialysis LLCCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.2M

    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. Connecticut Distribution
    James Pope — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut