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

    NPI 1669412904 · Birmingham, AL · Nephrology Physician

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    James Lewis is a nephrology physician provider located in Birmingham, Alabama. This profile covers 20 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Lewis
    Address817 Princeton Ave Sw Ste 206
    CityBirmingham
    StateAL
    ZIP35211
    TaxonomyNephrology Physician
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicare$144.6K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…840$60$48.6K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…150$260$38.4K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…70$170$12.8K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…50$220$9.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$100$8.9K
    36905Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…20$330$5.2K
    90945The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.40$60$2.5K
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…10$170$2.2K
    36907During a primary procedure on a patient's dialysis circuit, the provider finds an obstructedcentralsegment, which he dilates and opens up using a balloon expanded within the vessel lumen (channel).…20$110$2.2K
    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…30$60$2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3690571020$2,460$61.5K
    3690243040$910$48.2K
    9096051110140$260$44.7K
    3658151020$830$19.9K
    992145,9997,330120$80$16.8K
    992321122,530100$60$13.3K
    909614311040$210$10.6K
    3690192020$360$7.9K
    992134,9716,47080$50$7.9K
    3690751020$280$6.7K

    Showing 1–10 of 20

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alabama median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…343400470$30$97.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason TsaiALNephrology Physician$448K$0
    Harold GilesALNephrology Physician$182.6K$0
    Jeffrey GlazeALNephrology Physician$147.9K$0
    Phillip MadoniaALNephrology Physician$120.4K$0
    Thomas WatsonALNephrology Physician$93.4K$0
    Katie BeanALNephrology Physician$77.9K$0
    Vinh NguyenALSurgery Physician$64.1K$0
    Jeffrey GuilbeauALPhysician Assistant$45.3K$0
    Dawn CostonALAdult Health Nurse Practitioner$34.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Simon-williamson Clinic, P.C.ALInternal Medicine Physician$0$3.6M
    Lifeguard Ambulance Service LLCALLand Ambulance$1.3M$1.8M
    Bbh Pbmc, LLCALGeneral Acute Care Hospital$0$3.1M
    Farrell MendelsohnALCardiovascular Disease Physician$1.3M$0
    Simon Williamson Clinic Pediatrics PCALPediatrics Physician$0$1M
    David SibleyALCardiovascular Disease Physician$627.4K$0
    Hutton BrantleyALCardiovascular Disease Physician$552.2K$0
    Vasudeva GoliALCardiovascular Disease Physician$454K$0
    Thomas CawthonALCardiovascular Disease Physician$410.6K$0
    Ariana DiamondALOphthalmology Physician$284.1K$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. Alabama Distribution
    James Lewis — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    James Lewis — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama