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NPI 1720072861 · Connellsville, PA · Family Medicine Physician
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James Oppy is a family medicine physician provider located in Connellsville, Pennsylvania. This profile covers 21 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Oppy |
| Address | 201 N Pittsburgh St |
| City | Connellsville |
| State | PA |
| ZIP | 15425 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | September 6, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $163.3K |
| Medicaid | $51.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 110 | $280 | $30.8K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 640 | $50 | $29.3K |
| 99214 | The 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… | 320 | $80 | $26.1K |
| 99213 | The 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… | 460 | $50 | $24.5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 170 | $120 | $20.4K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 140 | $30 | $4.7K |
| G0008 | Administration of influenza virus vaccine | 140 | $30 | $4.1K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 70 | $60 | $4K |
| G0009 | Administration of pneumococcal vaccine | 110 | $30 | $3.2K |
| 99215 | The 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 | $120 | $2.3K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 3,952 | 23,230 | 100 | $80 | $14.5K |
| 99490 | 45 | 510 | 170 | $40 | $12.6K |
| G0439 | 779 | 5,250 | 60 | $110 | $9.5K |
| 99215 | 5,310 | 7,170 | 40 | $120 | $8.6K |
| 99213 | 1,131 | 22,370 | 70 | $60 | $7.7K |
| 90677 | 39 | 2,940 | 20 | $280 | $7.2K |
| 99497 | 274 | 920 | 40 | $60 | $4K |
| 99443 | 218 | 380 | 20 | $80 | $3K |
| 93010 | 1,213 | 2,330 | 140 | $10 | $2.4K |
| G0008 | 1,141 | 6,670 | 50 | $30 | $2.4K |
Showing 1–10 of 21
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 1,060 | $40 | $38.2K |
| 99214 | The 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… | 150 | $50 | $7.9K |
| 99212 | The 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,… | 40 | $30 | $1.3K |
| 92552 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear. | 120 | $10 | $1.1K |
| 99173 | The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from… | 120 | $10 | $820 |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 30 | $20 | $660 |
| G0008 | Administration of influenza virus vaccine | 60 | $10 | $630 |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 30 | $20 | $400 |
| G0444 | Annual depression screening, 5 to 15 minutes | 30 | $10 | $290 |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 30 | $10 | $240 |
Showing 1–10 of 21
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
21 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 4,558 | 8,160 | 210 | $60 | $68.4K |
| 99213 | The 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… | 1,978 | 8,870 | 240 | $40 | $56.1K |
| 99212 | The 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,… | 1,058 | 1,630 | 90 | $30 | $22K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 309 | 410 | 100 | $20 | $14.8K |
| 92552 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear. | 91 | 190 | 100 | $10 | $7.1K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 194 | 320 | 40 | $30 | $7K |
| 99173 | The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from… | 537 | 1,010 | 140 | $1 | $2.2K |
| G0008 | Administration of influenza virus vaccine | 252 | 700 | 40 | $10 | $1.9K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 114 | 230 | 30 | $10 | $1.5K |
| G0444 | Annual depression screening, 5 to 15 minutes | 198 | 290 | 60 | $10 | $1.2K |
Showing 1–10 of 21
Other providers in the same ZIP code as James Oppy, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Connellsville Counseling & Psychological Services, LLC | PA | Community/Behavioral Health Agency | $0 | $11.6M |
| Fayette Ems | PA | Land Ambulance | $1.1M | $7.5M |
| Connellsville Counseling Center | PA | Clinic/Center | $0 | $6.1M |
| Greg Hites | PA | Family Nurse Practitioner | $112.3K | $258.2K |
| Jennifer Sterbutzel | PA | Family Nurse Practitioner | $84.4K | $205.1K |
| Jeremiah Altman | PA | Surgical Physician Assistant | $70.4K | $119.6K |
| Sarah Lumley | PA | Family Medicine Physician | $66K | $30.1K |
| Richard Conn | PA | Family Medicine Physician | $39.5K | $2.5K |
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