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

    NPI 1659380244 · New York, NY · Gastroenterology Physician

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    James George is a gastroenterology physician provider located in New York, New York. This profile covers 13 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 George
    Address1751 York Ave
    CityNew York
    StateNY
    ZIP10128
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 5, 2006

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

    Payer SourceTotal Paid
    Medicare$405.6K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3380Injection, vedolizumab, intravenous, 1 mg19,500$20$331.5K
    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…220$80$16.4K
    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…130$110$14.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…40$220$9.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…50$130$6.1K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…30$160$5.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.40$100$4.2K
    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…30$130$4.2K
    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…50$90$3.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.60$60$3.6K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J338093013,500$20$270.1K
    453855091,10040$320$19.4K
    9921412,34830,45090$100$19K
    453805141,22040$230$15K
    432397201,29050$180$14.2K
    992137,01731,44080$70$12.1K
    4537824669020$230$8.3K
    9636533961080$60$7.7K
    992046,73014,17030$130$6.6K
    992034,30111,36030$90$4.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Care Services Of New Jersey, PANJEmergency Medicine Physician$0$7.4M
    Hung-wei LeeFLAnatomic Pathology & Clinical Pathology Physician$396.7K$0
    Ronaldo ZamucoNYAnatomic Pathology Physician$352.7K$820
    Donna Simmers-dabinettNJEmergency Medicine Physician$180.1K$0
    Wei SunNYAnatomic Pathology Physician$137.6K$1.6K
    Barry JaffinNYGastroenterology Physician$126.2K$0
    Eric GoldsteinNYGastroenterology Physician$92.1K$0
    Daniel AdlerNYGastroenterology Physician$75.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advantagecare Physicians PCNYGeneral Practice Physician$0$60.4M
    Robert GelfandNYHematology & Oncology Physician$4.2M$0
    Carnegie Hill Institute, Inc.NYMethadone Clinic$49.1K$3.7M
    Yorkville Endoscopy, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1M
    Rachel KramerNYHematology & Oncology Physician$2.1M$0
    Vicken PamoukianNYVascular Surgery Physician$1.7M$860
    George YoungNYUrology Physician$128.7K$818.3K
    Carnegie Hill Of New York, IncNYMethadone Clinic$52.9K$815.9K
    Zaher HamadehNYInternal Medicine Physician$624.2K$164.5K
    Newsha GhodsiNYCardiovascular Disease Physician$666K$2.9K

    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. New York Distribution
    James George — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York