Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Catherine James (NPI 1659041010)

Field	Value
Entity Type	Individual
Organization	Catherine James
Address	801 Encino Pl Ne Ste D7
City	Albuquerque
State	NM
ZIP	87102
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	September 16, 2021

Payer Source	Total Paid
Medicare	$12.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	90	$30	$2.7K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	110	$20	$2.6K
99214	The 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…	30	$70	$2.4K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	60	$30	$1.8K
99205	The 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…	10	$100	$1.4K
99213	The 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…	20	$50	$1.2K
99212	The 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,…	10	$20	$210

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Catherine James — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,132	2,700	90	$70	$12.9K
99213	1,947	2,440	60	$50	$7.3K
99457	15	30	80	$30	$7.3K
99458	8	20	100	$30	$6.8K
99454	22	30	110	$30	$6.2K
99205	263	340	20	$140	$4.3K
99212	518	570	30	$30	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colonial Family Practice, LLC	SC	Family Medicine Physician	$0	$9.5M
David Whaley	SC	Family Medicine Physician	$595.2K	$0
John Baker	SC	Neurology Physician	$453.6K	$0
Nzeadibenma Uzochukwu	IL	Diagnostic Radiology Physician	$84K	$360.8K
Clayton Lowder	SC	Family Medicine Physician	$340.1K	$0
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120
Mitchell Grunsky	SC	Family Medicine Physician	$299.1K	$0
Thomas Lucas	SC	Family Medicine Physician	$290.5K	$0
Ike Stewart	SC	Family Medicine Physician	$282.5K	$0
Christopher Mahr	SC	Family Medicine Physician	$228.9K	$0

Catherine James — Billing Profile & Reimbursement Data

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Catherine James — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References