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

    NPI 1619191012 · Littleton, CO · Psychiatry Physician

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    James Mauldin is a psychiatry physician provider located in Littleton, Colorado. This profile covers 8 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 Mauldin
    Address10789 Bradford Rd
    CityLittleton
    StateCO
    ZIP80127
    TaxonomyPsychiatry Physician
    NPI EnumeratedApril 13, 2007

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

    Payer SourceTotal Paid
    Medicare$268.4K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99484Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…4,670$30$149.4K
    99451A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…2,800$30$75.7K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…190$140$27.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…60$90$4.7K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…30$140$4.6K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…30$80$2.5K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…40$50$2.1K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…60$20$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 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309286370220$70$29.6K
    9931020826090$110$21.6K
    9948411030$30$19.4K
    993069213070$140$18.2K
    90832356050$50$4.7K
    9945113020$30$3.7K
    9079219020$130$3.6K
    G0317133050$20$2.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavioral Health Solutions LLCNVCommunity/Behavioral Health Agency$0$11.4M
    Human Supports Of IdahoIDGeneral Practice Physician$0$9.4M
    1 Love Wellness Society LLCNVCommunity/Behavioral Health Agency$0$2.1M
    Hadon MonaghanTNNurse Practitioner$1.1M$0
    Anthony QuinnNVPsychiatry Physician$604.9K$23.8K
    Emerald SonicoNVPrimary Care Nurse Practitioner$485.4K$16.3K
    Audra OmwangheNVPsychiatric/Mental Health Nurse Practitioner$437.1K$1.3K
    Manbir GorayaNVFamily Nurse Practitioner$313.7K$0
    Cathey HammanNVFamily Nurse Practitioner$311.6K$0
    Wayne SeareNVAcute Care Nurse Practitioner$307.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Personal Home Care Plus LLCCOIn Home Supportive Care Agency$0$18.6M
    Apria Healthcare LLCCODurable Medical Equipment & Medical Supplies$0$11.8M
    1st Premier Home Care, IncCOIn Home Supportive Care Agency$0$4M
    Altitude Physical Therapy, P.C.COPhysical Therapist$0$3.7M
    Aspen Medical Monitoring LLCCOPhysiological Laboratory$16.4K$726K
    Lee RosacciCOFamily Medicine Physician$196.7K$0
    Leonard TamuraCOClinical Psychologist$37.2K$0
    Emily SharpCOPhysical Therapist$34K$0
    Breanna BlewettCOSpeech-Language Pathologist$22.1K$0
    Christopher SullivanCOFoot & Ankle Surgery Podiatrist$17.3K$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. Colorado Distribution
    James Mauldin — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado