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

    NPI 1639186513 · Tallahassee, FL · MOHS-Micrographic Surgery Physician

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    James Caldwell is a mohs-micrographic surgery physician provider located in Tallahassee, Florida. This profile covers 25 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 Caldwell
    Address2433 Mahan Dr
    CityTallahassee
    StateFL
    ZIP32308
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedAugust 2, 2006

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

    Payer SourceTotal Paid
    Medicare$389.9K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…250$470$118K
    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…650$60$37.2K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.90$410$35.5K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.430$60$26.5K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.80$320$24.6K
    J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg21,600$1$21.6K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…210$80$16.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…390$40$14.4K
    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…170$80$13.5K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.330$40$11.6K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311165350240$470$152.3K
    17312214330120$330$61.8K
    1731311128060$460$45.9K
    9921414,56232,760140$90$25K
    1313239843060$240$21.8K
    1312147754040$260$18.7K
    111023711,930170$60$16.9K
    171105531,940110$70$13.6K
    170007922,110230$30$12.9K
    J73457505,500$1$12.4K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tallahassee Medical Center IncFLGeneral Acute Care Hospital$0$26.8M
    Tallahassee Memorial Healthcare IncFLGeneral Acute Care Hospital$0$20.6M
    Vitas Healthcare Corporation Of FloridaFLCommunity Based Hospice Care Agency$0$18.6M
    Dva Healthcare Renal Care, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.6M
    Big Bend Hospice, Inc.FLCommunity Based Hospice Care Agency$0$8.8M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$8.7M
    Aaron FlandersFLHematology & Oncology Physician$3.5M$0
    Harold BrooksFLOphthalmology Physician$3.2M$0
    Charles NewellFLOphthalmology Physician$2.5M$0
    Robert SteinmetzFLOphthalmology Physician$2.4M$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. Florida Distribution
    James Caldwell — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida