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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Cripe
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    James Cripe — Billing Profile & Reimbursement Data

    NPI 1679860894 · Indianapolis, IN · Gynecologic Oncology Physician

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    James Cripe is a gynecologic oncology physician provider located in Indianapolis, Indiana. This profile covers 8 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 Cripe
    Address7979 N Shadeland Ave Ste 310
    CityIndianapolis
    StateIN
    ZIP46250
    TaxonomyGynecologic Oncology Physician
    NPI EnumeratedJuly 8, 2011

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

    Payer SourceTotal Paid
    Medicare$32.9K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    58571The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…20$640$13.5K
    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…50$100$4.8K
    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…110$40$4.8K
    99205The 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…20$130$2.9K
    38570The provider makes small incisions and inserts a laparoscope, or camera, and then inserts tools to sample one or more lymph nodes in the retroperitoneum to stage cancer in the retroperitoneum and…10$190$2.1K
    38900The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…20$130$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…20$110$1.6K
    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…20$80$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,01210,540110$80$15.5K
    5857193020$460$8.7K
    992133,99310,82080$50$7.6K
    992152,3002,73030$110$7.1K
    992056211,17030$140$5.1K
    992041,3874,69030$100$4.9K
    3857051010$190$2.6K
    38900224020$110$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Krishna MalineniINClinical Cardiac Electrophysiology Physician$345.5K$0
    Chad ReichardINUrology Physician$315.7K$0
    Chris MageeINUrology Physician$288.6K$0
    Rajesh MallelaINInterventional Cardiology Physician$278.5K$0
    Anil PurohitINClinical Cardiac Electrophysiology Physician$248.7K$0
    Kevin TrulockINClinical Cardiac Electrophysiology Physician$227.4K$0
    Samantha BuszekINRadiation Oncology Physician$202.9K$0
    Christopher HealyINCardiovascular Disease Physician$201.3K$0
    Michael LargeINUrology Physician$198.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Hospital Of In, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$90.4M
    Community Health Network, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$37.4M
    Caregiver Homes Of South Dakota IncINCase Management Agency$0$18.5M
    The Hope Source Inc.INMulti-Specialty Clinic/Center$0$17.4M
    Meds To You LLCINLong Term Care Pharmacy$16.8M$80
    Josephson-wallack-munshower Neurology PCINNeurology Physician$0$9.7M
    Indiana Neurology And Pain Center LLCINPain Medicine (Psychiatry & Neurology) Physician$0$6.1M
    Choices Coordinated Care Solutions, Inc.INCase Management Agency$0$5.9M
    Nova Home Care, Inc.INIn Home Supportive Care Agency$0$4.2M
    Emergency Dentist,llcINGeneral Practice Dentistry$0$3.3M

    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. Indiana Distribution
    James Cripe — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana