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

    NPI 1699704213 · North Charleston, SC · Sports Medicine (Orthopaedic Surgery) Physician

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    James Spearman is a sports medicine (orthopaedic surgery) physician provider located in North Charleston, South Carolina. This profile covers 19 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 Spearman
    Address2880 Tricom St
    CityNorth Charleston
    StateSC
    ZIP29406
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicare$166.5K
    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.

    19 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…590$80$49.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…420$50$19.8K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…40$400$14.7K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$700$13.9K
    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…210$60$12.7K
    23412In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…30$420$12.6K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.60$100$6.2K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…50$100$5.4K
    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…70$70$5.3K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…10$380$4.9K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,1567,860160$80$23.2K
    2341211030$780$21.1K
    2988032020$710$15.6K
    29828194020$710$14.2K
    29881203020$620$13.7K
    992132,1027,690100$60$10.8K
    206106081070$50$7.3K
    992042,1284,52040$110$6.4K
    737217118050$80$6K
    732216516050$90$5.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James O'learySCSports Medicine (Orthopaedic Surgery) Physician$510.5K$0
    Richard ZimlichSCOrthopaedic Surgery Physician$383.3K$0
    Christopher MerrellSCPhysical Medicine & Rehabilitation Physician$358.2K$0
    Eric StemSCSports Medicine (Orthopaedic Surgery) Physician$338.1K$0
    Slif UlrichSCAdult Reconstructive Orthopaedic Surgery Physician$307K$0
    Christopher BattistaSCOrthopaedic Surgery Physician$289.9K$0
    Daniel NemethSCPhysical Medicine & Rehabilitation Physician$266.3K$0
    Sabino D'agostinoSCNeurological Surgery Physician$230.3K$0
    Adam SchaafSCOrthopaedic Surgery Physician$141.4K$0
    David JaskwhichSCSports Medicine (Orthopaedic Surgery) Physician$128K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$55.8M
    Sweetgrass PediatricsSCPediatrics Physician$0$37.1M
    Trident Ambulatory Surgery Center, L.P.SCAmbulatory Surgical Clinic/Center$1M$10.9M
    Palmetto Pediatrics, PASCPediatrics Physician$0$9M
    Taylor Consultants, LLCSCCase Manager/Care Coordinator$0$7.5M
    Charleston Children's Therapy Center, LLCSCPediatric Physical Therapist$0$5.7M
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$4.1M
    Med-trans CorporationSCAir Ambulance$292K$3.6M
    Oral Surgery Of South Carolina LLCSCOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Crossroads Treatment Center Of Charleston, PCSCSubstance Use Disorder Rehabilitation Clinic/Center$153.1K$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. South Carolina Distribution
    James Spearman — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina