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

    NPI 1629056544 · Birmingham, AL · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    James Davies is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Birmingham, Alabama. This profile covers 18 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 Davies
    Address1717 6th Ave S
    CityBirmingham
    StateAL
    ZIP35233
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedJanuary 3, 2006

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

    Payer SourceTotal Paid
    Medicare$397.7K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33533Coronary artery bypass, using arterial graft(s); single arterial graft110$1,270$138K
    33405The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…40$1,360$60K
    33430The mitral valve of the heart controls the passage of blood from the left atrium to the left ventricle. When it fails to perform this duty due to disease, then a replacement surgery might be the only…30$2,020$52.4K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…50$560$28.7K
    33859The provider repairs an ascending aortic aneurysm using a graft. She initiates cardiopulmonary bypass during the procedure, which allows the patient's blood to bypass the heart and lungs. She may…20$1,630$24.4K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…70$300$20.9K
    99205The provider sees a new 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 provider…140$130$18.1K
    33530The provider repeats a coronary artery bypass grafting procedure or valve procedure more than one month after the original surgery primarily due to failure of the original procedure.30$390$12.1K
    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…150$70$10K
    99204The provider sees a new 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 provider…100$100$9.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3343011020$1,790$34.1K
    3385911020$1,630$24.4K
    3353316020$820$19.7K
    3340511020$1,030$19.6K
    992143,2127,330120$80$16.8K
    3336154020$550$15.4K
    992331,0791,86080$90$13.4K
    992236792,14040$130$8.1K
    3353011020$370$8.1K
    992051882030$140$5K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uahsf NeonatologyALNeonatal-Perinatal Medicine Physician$0$94M
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALGeneral Acute Care Hospital$0$16.7M
    Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$12M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALInternal Medicine Physician$0$7.5M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    The Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$5.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsALClinical Medical Laboratory$60.5M$289.1M
    The Children's Hospital Of AlabamaALChildren's Hospital$0$59M
    M&o Enterprises LLCALHome Infusion Therapy Pharmacy$0$31.2M
    Medical Resources, IncALOxygen Equipment & Supplies (DME)$0$23.6M
    Southern Lab Partners, LLCALClinical Medical Laboratory$5.4M$14.4M
    Jefferson County Board Of HealthALPublic Health or Welfare Agency$0$12.2M
    The Children's Hospital Of AlabamaALPsychologist$0$12M
    The Children's Hospital Of AlabamaALPediatrics Physician$0$7.5M
    Pediatric Anesthesia Associates PCALAnesthesiology Physician$0$7.2M
    Pediatric Radiology Associates PCALPediatric Radiology Physician$0$6.8M

    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. Alabama Distribution
    James Davies — 7 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama