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

    NPI 1578767174 · Fort Myers, FL · Sports Medicine (Orthopaedic Surgery) Physician

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    James Bynum is a sports medicine (orthopaedic surgery) physician provider located in Fort Myers, Florida. This profile covers 26 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 Bynum
    Address7331 College Pkwy
    CityFort Myers
    StateFL
    ZIP33907
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJune 14, 2007

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

    Payer SourceTotal Paid
    Medicare$288.7K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…830$90$70.6K
    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…1,030$70$69.3K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$910$24.6K
    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…910$20$18.1K
    99203The provider sees a new 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 provider…220$80$17.8K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…870$20$13.9K
    29999Use 29999 to report arthroscopy procedures in the musculoskeletal system that does not have a specific code.20$550$11.5K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.310$30$9.6K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$380$8.8K
    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.220$40$8.6K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    298277426020$1,050$26.2K
    971101,6163,870690$20$21.6K
    29828167020$910$18.2K
    9921383530,01080$60$12K
    721481,0191,09050$110$11.4K
    7372163866040$120$10.6K
    2999931030$330$9.1K
    971405613,020290$20$9.1K
    7322141653040$120$9.1K
    298243512020$350$9K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edward HumbertFLAdult Reconstructive Orthopaedic Surgery Physician$1.7M$0
    Benjamin DittyFLNeurological Surgery Physician$590.6K$0
    David EichtenFLOrthopaedic Surgery Physician$581.1K$0
    Dennis SaginiFLSurgery of the Hand (Surgery) Physician$580.7K$0
    Jeffrey HennFLNeurological Surgery Physician$435.5K$0
    Andres Melendez-dedosFLPain Medicine (Anesthesiology) Physician$424.5K$0
    Bryan WittFLOrthopaedic Foot and Ankle Surgery Physician$382.6K$0
    Carmella FernandezFLOrthopaedic Hand Surgery Physician$334.3K$0
    Mitchell HerremaFLAdult Reconstructive Orthopaedic Surgery Physician$328.9K$0
    April FetzerFLPain Medicine (Physical Medicine & Rehabilitation) Physician$286.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Resource Network Of Florida, LLCFLIn Home Supportive Care Agency$0$20.4M
    Unlimited Home Health Services CorpFLHome Health Agency$0$14.2M
    Physicians Primary Care Of Southwest Florida PlFLGeneral Practice Physician$0$14.2M
    Community Resource Network Of Florida, LLCFLIn Home Supportive Care Agency$0$13.3M
    Eleven Ash IncFLHome Health Agency$0$11.7M
    Alexander EatonFLRetina Specialist (Ophthalmology) Physician$9.7M$0
    Pediatric Services Of America, LLCFLNursing Care Agency$0$9.5M
    Hussein WafapoorFLRetina Specialist (Ophthalmology) Physician$8.1M$0
    Eye Specialists Laser & Surgery Center IncFLOphthalmologic Surgery Clinic/Center$1.9M$0
    Heart & Vascular Ambulatory Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$1.6M$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. Florida Distribution
    James Bynum — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida