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

    NPI 1568901874 · Alexandria, LA · Family Nurse Practitioner

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    James Thomas is a family nurse practitioner provider located in Alexandria, Louisiana. This profile covers 15 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 Thomas
    Address3444 Masonic Drive
    CityAlexandria
    StateLA
    ZIP71301
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 20, 2017

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

    Payer SourceTotal Paid
    Medicare$27.6K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…70$130$9.2K
    64624The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it…20$240$3.6K
    64640Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.50$80$3.4K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$130$2.1K
    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…30$60$2K
    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$110$1.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$20$960
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$770
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$20$700
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…30$30$650

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274471816030$890$35.5K
    271305910020$770$20K
    992145,3546,670110$80$16.5K
    64640152060$80$8.6K
    992151,3331,65040$110$8.4K
    64624102020$260$6.5K
    2061046359060$50$4.7K
    73565172030$30$1.9K
    7356219237040$20$1.5K
    7360073030$20$1.2K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen PriceLAPhysician Assistant$3.4M$0
    William RogenmoserLAPhysical Medicine & Rehabilitation Physician$606K$0
    Timmothy RandellLAOrthopaedic Surgery Physician$561.1K$0
    William CrenshawLAOrthopaedic Surgery Physician$394.8K$340
    Jeffrey GarrisonLAOrthopaedic Surgery Physician$304.9K$0
    Larry DoughtyLAPain Medicine Physician$272.5K$0
    Michael LeddyLASports Medicine (Orthopaedic Surgery) Physician$261.2K$0
    Jamie RisterLASports Medicine (Orthopaedic Surgery) Physician$241.3K$0
    Daniel OasLAOrthopaedic Surgery Physician$175.7K$0
    Abby FennellLAOccupational Therapist$94.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    James Thomas — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana