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

    NPI 1588691125 · Fort Worth, TX · Allergy & Immunology (Internal Medicine) Physician

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    James Haden is a allergy & immunology (internal medicine) physician provider located in Fort Worth, Texas. This profile covers 14 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Haden
    Address1000 College Ave
    CityFort Worth
    StateTX
    ZIP76104
    TaxonomyAllergy & Immunology (Internal Medicine) Physician
    NPI EnumeratedJune 27, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.5M
    Medicare$819.3K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2357Injection, omalizumab, 5 mg19,740$30$592.2K
    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…1,140$60$68.2K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.790$60$44K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.3,250$10$39K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.9,070$1$27.2K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.2,740$10$19.2K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…480$30$13.1K
    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…140$70$9.9K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.1,410$10$7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…290$10$2.9K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J23574604,480$30$190.2K
    9516550390940$10$18.9K
    9921429,79332,500110$80$17.6K
    9640111480100$50$9.9K
    9921323929,79070$60$8.4K
    9500443801,220$1$5.2K
    9511710420320$10$4.3K
    95024152200490$10$3.8K
    9920370210,82030$70$3.4K
    951158190230$10$2.8K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.4,930$260$1.3M
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.1,800$300$534K
    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…7,450$30$230.9K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.17,050$10$136.4K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…3,430$30$116.7K
    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…2,160$50$112.5K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.4,200$10$29.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.20$10$220
    99072The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…250$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.11120310$220$302.6K
    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…9586,040710$40$232.8K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.17150150$280$213K
    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…1591,860130$70$65.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.834960150$30$46.4K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.131401,270$10$43.5K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…6140120$40$26K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.1370880$10$17.4K
    99072The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…158430130$1$320

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cook Children's Medical CenterTXChildren's Hospital$0$286.6M
    Cook Children's Physician NetworkTXPediatrics Physician$0$106.2M
    Cook Childrens Home HealthTXDurable Medical Equipment & Medical Supplies$0$64.4M
    Tarrant County Hospital DistrictTXGeneral Acute Care Hospital$0$61.8M
    Acclaim Physician Group, IncTXInternal Medicine Physician$0$30.9M
    Cook Children's Physician NetworkTXPediatric Emergency Medicine (Emergency Medicine) Physician$0$25.7M
    Cook Children's Medical CenterTXPediatrics Physician$0$21.3M
    Texas Health Harris Methodist Hospital Fort WorthTXGeneral Acute Care Hospital$0$13.8M
    Physicians Surgical Center Of Ft. Worth LLPTXAmbulatory Surgical Clinic/Center$2.9M$0
    Sleep Telemedicine Services, IncTXSleep Disorder Diagnostic Clinic/Center$187.3K$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. Texas Distribution
    James Haden — 7 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    James Haden — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas