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

    NPI 1689669178 · Saginaw, MI · Orthopaedic Trauma Physician

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    James Weir is a orthopaedic trauma physician provider located in Saginaw, Michigan. This profile covers 12 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 Weir
    Address800 Cooper Ave.
    CitySaginaw
    StateMI
    ZIP48602
    TaxonomyOrthopaedic Trauma Physician
    NPI EnumeratedSeptember 12, 2005
    NPI DeactivatedMarch 22, 2006

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

    Payer SourceTotal Paid
    Medicare$70.5K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$980$29.3K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$990$14.9K
    29882The provider examines the inside of the knee joint with an arthroscope. She repairs a torn meniscus, a crescent shaped cartilage cushion, in either the medial or lateral compartments of the knee…10$530$6.4K
    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…90$60$5.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$40$2.9K
    0055TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…10$190$2.3K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.100$20$2.3K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…20$110$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…30$70$1.9K
    73501In this diagnostic procedure, the provider takes an X–ray image of one hip, either left or right, from a single projection (direction or angle) to check for  fracture, swelling, or other reason for…80$20$1.8K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744714336030$1,470$50.1K
    2713018224020$1,410$40.8K
    992135,46414,81060$60$6.6K
    2988211010$530$6.4K
    0055T91020$180$5.3K
    20985324020$110$3.6K
    992032,3734,56030$70$3K
    992124902,75030$40$2K
    7356443173040$20$1.3K
    7356268787040$20$1.1K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saginaw County Community Mental Health AuthorityMICommunity/Behavioral Health Agency$0$172.1M
    Covenant Medical Center, Inc.MIGeneral Acute Care Hospital$0$96.6M
    Covenant Medical Center, IncMIFamily Medicine Physician$0$19.3M
    Covenant Medical Center, Inc.MIEmergency Medicine Physician$0$14.7M
    Aps Employment Services, Inc.MIHome Health Agency$0$13.2M
    Valley Ob Gyn Clinic PCMISpecialist$0$10.1M
    Great Lakes Bay Health CentersMIFederally Qualified Health Center (FQHC)$0$8M
    Covenant Medical Center, Inc.MIFamily Medicine Physician$0$6M
    Saginaw Cooperative Hospitals, IncMIObstetrics & Gynecology Physician$0$5.8M
    Parthiv AminMICardiovascular Disease Physician$267.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    James Weir — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan