Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Heather James (NPI 1578574752)

Field	Value
Entity Type	Individual
Organization	Heather James
Address	1500 Citywest Blvd
City	Houston
State	TX
ZIP	77042
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	August 11, 2006

Payer Source	Total Paid
Medicare	$46.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	170	$120	$19.7K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	90	$110	$9.9K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	70	$140	$8.8K
00732	The anesthesia provider performs anesthesia services for an endoscopic retrograde cholangiopancreatography (ERCP) during which another provider introduces the endoscope to the proximal (upper) part…	30	$140	$4.4K
01844	The provider performs anesthesia services for a patient undergoing a vascular shunt procedure, or shunt revision of any type, such as for dialysis.	10	$190	$2.1K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	10	$120	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Heather James — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01844	119	130	20	$140	$3.3K
00811	200	2,110	20	$80	$3.2K
00813	89	1,220	20	$100	$2.7K
00812	1,083	1,170	20	$80	$2.6K
00731	17	2,800	20	$80	$2.3K
00732	9	70	10	$110	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
U. S. Anesthesia Partners Of Texas, P.A.,	TX	Anesthesiology Physician	$0	$16.7M
Isaac Zoch	TX	Pain Medicine (Anesthesiology) Physician	$685.1K	$0
Steven Sloan	TX	Anesthesiology Physician	$386.5K	$0
Aamir Rai	TX	Anesthesiology Physician	$334.5K	$0
Susan Munga	TX	Pain Medicine (Anesthesiology) Physician	$262.7K	$0
Darin Stettler	UT	Anesthesiology Physician	$214.4K	$0
Maged Mina	TX	Anesthesiology Physician	$189K	$0
Jeff Arthur	TX	Anesthesiology Physician	$176.8K	$0
Eldon Steele	TX	Anesthesiology Physician	$116.4K	$0
Michael Phillips	TX	Interventional Pain Medicine Physician	$114.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wilcare, Inc.	TX	Personal Care Attendant	$0	$54M
Everose Healthcare, Inc.	TX	Personal Care Attendant	$0	$52.8M
Maxim Healthcare Services, Inc.	TX	Home Health Agency	$0	$16.8M
United America Home Health Services, Inc	TX	Home Health Agency	$0	$12.5M
New Essence Health Care Inc.	TX	Home Health Agency	$0	$12.3M
Christian Provider Services Inc	TX	Personal Care Attendant	$0	$11.8M
Diversified Health Solutions LLC	TX	Home Health Agency	$0	$11.2M
Ebrahim Delpassand	TX	Nuclear Radiology Physician	$4.4M	$0
Auspicious Laboratory Inc.	TX	Clinical Medical Laboratory	$788.9K	$1.9M
Kimberly Dodd	TX	Family Nurse Practitioner	$2.1M	$0

Heather James — Billing Profile & Reimbursement Data

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Heather James — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References