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

    NPI 1659392090 · Stuart, FL · Family Medicine Physician

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    James Kriseman is a family medicine physician provider located in Stuart, Florida. This profile covers 10 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 Kriseman
    Address1959 Nw Federal Hwy
    CityStuart
    StateFL
    ZIP34994
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicare$59.9K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…290$100$28.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$150$18.1K
    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…70$70$4.4K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit10$180$2.2K
    99215The provider sees an established 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…10$150$2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…30$70$1.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.320$1$1.3K
    G0008Administration of influenza virus vaccine30$40$1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$170
    82270The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…20$1$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,71132,760140$90$25K
    G04393887,21060$120$13.4K
    992134,50730,01080$60$12K
    992153,8588,55040$130$10.7K
    906624993,87040$70$7.6K
    364151916,02080$10$5K
    G043824599020$160$4.6K
    G00081,2066,85060$30$3.9K
    930005865,70040$10$1.6K
    82270913030$1$230

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martin Memorial Medical Center IncFLGeneral Acute Care Hospital$0$26M
    Southwestern Vermont Medical Center Inc.VTInternal Medicine Physician$0$2.9M
    Refat BaridiILHematology & Oncology Physician$1.7M$27.6K
    Prasad ChalasaniFLCardiovascular Disease Physician$1.4M$0
    Amy EversoleFLCardiovascular Disease Physician$1.3M$0
    William McmanusFLInterventional Cardiology Physician$948.2K$0
    Joseph GageFLCardiovascular Disease Physician$893.8K$0
    Norman BennettFLCardiovascular Disease Physician$822.3K$0
    Lawrence MufsonFLCardiovascular Disease Physician$792.4K$0
    Gregory ParrFLUrology Physician$636.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Superior Care Home Health Agency LLCFLHome Health Agency$0$35.5M
    Martin County Florida Board Of CommissionersFLAmbulance$2.6M$1.6M
    Alpana DesaiFLMedical Oncology Physician$3.6M$0
    Coastal Care CorporationFLRadiology Clinic/Center$2.7M$800
    Walid MangalFLRetina Specialist (Ophthalmology) Physician$2.5M$0
    Treasure Coast Asc, LLCFLAmbulatory Surgical Clinic/Center$1.9M$0
    Ravi PatelFLHematology & Oncology Physician$1.6M$0
    Prashant PatelFLHematology & Oncology Physician$1.6M$0
    Elke FriedmanFLMedical Oncology Physician$1.3M$0
    Thomas SuitsFLSpecialist$1.3M$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.

    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. Florida Distribution
    James Kriseman — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida