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

    NPI 1700860988 · Nashville, TN · Sports Medicine (Family Medicine) Physician

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    James Johnson is a sports medicine (family medicine) physician provider located in Nashville, Tennessee. This profile covers 11 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 Johnson
    Address28 White Bridge Rd Ste 207
    CityNashville
    StateTN
    ZIP37205
    TaxonomySports Medicine (Family Medicine) Physician
    NPI EnumeratedDecember 1, 2005

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

    Payer SourceTotal Paid
    Medicare$90.4K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…340$80$28.1K
    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…310$90$27.5K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg2,640$10$13.2K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose190$60$11.2K
    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$90$4.1K
    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$130$2.7K
    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…50$50$2.6K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg700$1$700
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…30$10$240
    J1100Injection, dexamethasone sodium phosphate, 1 mg1,120$0$0

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,57411,370120$80$16.6K
    J73186301,440$10$10.3K
    J7321940100$60$8.6K
    992151,9112,71040$110$8.3K
    992137,12811,03080$50$8K
    206111021050$70$6.3K
    992042,0615,49030$100$5.3K
    963722,4503,23050$10$850
    J33011591,100140$1$310
    J188523551070$1$40

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colin CrosbyTNOrthopaedic Surgery of the Spine Physician$270.5K$0
    Gregory RaabTNAdult Reconstructive Orthopaedic Surgery Physician$219.1K$0
    Samuel CrosbyTNOrthopaedic Hand Surgery Physician$166.6K$0
    Rudolph GlattesTNOrthopaedic Surgery Physician$149.7K$0
    Thomas DovanTNOrthopaedic Hand Surgery Physician$110.5K$0
    David MooreTNSports Medicine (Orthopaedic Surgery) Physician$110.1K$0
    Chad PriceTNOrthopaedic Surgery Physician$103.8K$0
    Andrew ThomsonTNAdult Reconstructive Orthopaedic Surgery Physician$82.3K$0
    Stephen HasselbringTNPhysician Assistant$68.4K$0
    Burton ElrodTNSports Medicine (Orthopaedic Surgery) Physician$59.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Old Harding Pediatric AssociatesTNPediatrics Physician$0$7.3M
    Saint Thomas West HospitalTNGeneral Acute Care Hospital$0$7.1M
    Adams & Seaton Pediatric DentistryTNPediatric Dentistry$0$3.7M
    Kent ShihTNHematology & Oncology Physician$2.2M$0
    Joshua MondscheinTNRadiation Oncology Physician$2.1M$0
    Saint Thomas Campus Surgicare LPTNAmbulatory Surgical Clinic/Center$1.3M$0
    Elizabeth LyonsTNRheumatology Physician$1.2M$0
    Colt McclainTNAnatomic Pathology & Clinical Pathology Physician$962.9K$0
    Imaging Alliance Nashville Pet LLCTNRadiology Clinic/Center$456.7K$255.5K
    Gregg ShepardTNHematology & Oncology Physician$653K$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. Tennessee Distribution
    James Johnson — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee