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

    NPI 1679521785 · Mobile, AL · Orthopaedic Surgery of the Spine Physician

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    James West is a orthopaedic surgery of the spine physician provider located in Mobile, Alabama. This profile covers 16 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 West
    Address6144 Airport Blvd
    CityMobile
    StateAL
    ZIP36608
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMay 4, 2006

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

    Payer SourceTotal Paid
    Medicare$165.9K
    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.

    16 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…730$90$62.8K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,160$19.7K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.20$1,250$18.7K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$500$11.4K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.250$40$9.1K
    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…80$110$8.6K
    22845The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$530$8.5K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…270$30$7.4K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.10$550$6.1K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.30$150$4.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612304020$1,000$25.1K
    992144007,330120$80$16.8K
    22551195010$960$15.3K
    63047248020$420$8.7K
    992133,8386,47080$50$7.9K
    22845224020$300$6.7K
    22840384020$330$6.2K
    2061053960060$50$5.1K
    992045833,75030$100$4.8K
    63048174030$100$3.1K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Orthopaedic Group, PCALSpecialist$0$1.4M
    Vanna EslavaALFamily Nurse Practitioner$391.6K$0
    Michael BlackmerALAdult Reconstructive Orthopaedic Surgery Physician$239K$0
    Robert BairdALOrthopaedic Surgery Physician$200.3K$0
    Charles WilsonALSports Medicine (Orthopaedic Surgery) Physician$199.7K$0
    Michael EslavaALSports Medicine (Orthopaedic Surgery) Physician$191.1K$0
    James SpainALSports Medicine (Family Medicine) Physician$176.4K$0
    Matthew BarberALOrthopaedic Surgery Physician$168.8K$0
    Jacob KidderALOrthopaedic Surgery Physician$151.3K$0
    Timothy FrerichsALOrthopaedic Surgery Physician$142.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Medical Group, P.A.ALSpecialist$0$7.4M
    Coast Diagnostics, LLCALClinical Medical Laboratory$275.1K$5.7M
    Springhill Hospitals, IncALGeneral Acute Care Hospital$0$5.3M
    Pulmonary Associates Of Mobile PCALPulmonary Disease Physician$0$5.3M
    Providence HospitalALGeneral Acute Care Hospital$0$4.8M
    Alabama Providence Healthcare ServicesALInternal Medicine Physician$0$4.7M
    University Of South Alabama Health Care AuthorityALInternal Medicine Physician$0$3.9M
    Mobile Emergency Physicians, LLCALEmergency Medicine Physician$0$3.3M
    Imc-pediatric & Adolescent Medicine, LLCALPediatric Adolescent Medicine Physician$0$3.3M
    Springhill Emergency Physicians, PCALEmergency Medicine Physician$0$3.2M

    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 West — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama