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

    NPI 1699779199 · Fayetteville, GA · Dermatology Physician

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    James Sandwich is a dermatology physician provider located in Fayetteville, Georgia. This profile covers 38 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 Sandwich
    Address450 Lanier Ave W
    CityFayetteville
    StateGA
    ZIP30214
    TaxonomyDermatology Physician
    NPI EnumeratedJune 13, 2005

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

    Payer SourceTotal Paid
    Medicare$584.8K
    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,150$60$128.7K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…200$480$94K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,580$40$61.6K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.780$70$54.7K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…4,860$10$24.3K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.70$320$23.9K
    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…260$70$17.4K
    17262The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…150$120$16.9K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…230$70$16.4K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…80$200$16K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173115380290$440$166K
    173125780140$310$66.3K
    17313627070$440$47.8K
    131325011060$210$20K
    992145,04813,640120$80$17.8K
    14060577020$550$17K
    131216813040$220$13.2K
    1110216550160$60$12.8K
    1711010852090$70$10.7K
    1203213221040$180$10.5K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deborah DuganAZFamily Nurse Practitioner$2.9M$0
    Maria Jill AlfonsoNVFamily Nurse Practitioner$1.6M$0
    Straight Line ArlaTXPsychiatry Physician$242.4K$1M
    Phu TranFLHematology & Oncology Physician$1.2M$10.9K
    Andrew StyperekFLProcedural Dermatology Physician$1.2M$0
    Nicole SiddonsMNFamily Nurse Practitioner$1.1M$0
    Aaron AldapeTXFamily Medicine Physician$988.1K$0
    Jasmit MinhasWAInternal Medicine Physician$965.4K$0
    Lisa PfingstlerPADermatology Physician$581.7K$257.3K
    Kunal AgarwalFLSleep Medicine (Family Medicine) Physician$700.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan BenderGAHematology & Oncology Physician$2.6M$0
    Vipin Ramprasad LohiyaGAHematology & Oncology Physician$2.3M$0
    Trevor FeinsteinGAHematology & Oncology Physician$1.4M$0
    Summit Endoscopy CenterGAAmbulatory Surgical Clinic/Center$1.4M$0
    Board Of Commissioners Of Fayette CountyGALand Ambulance$693.7K$224.7K
    Georgia Urology Fayette AscGAAmbulatory Surgical Clinic/Center$504.4K$0
    Paul FeldmanGAPlastic Surgery Physician$483.9K$0
    Assured Care Ems LLCGALand Ambulance$457.1K$0
    Eye Consultants: Fayetteville Surgery CenterGAOphthalmology Physician$449.7K$0
    Barbara ConlonGANurse Practitioner$446.2K$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. Georgia Distribution
    James Sandwich — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia