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

    NPI 1720197353 · San Luis Obispo, CA · Orthopaedic Surgery of the Spine Physician

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    James Carr is a orthopaedic surgery of the spine physician provider located in San Luis Obispo, California. This profile covers 10 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 Carr
    Address1551 Bishop St Ste 210
    CitySan Luis Obispo
    StateCA
    ZIP93401
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedAugust 29, 2006

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

    Payer SourceTotal Paid
    Medicare$115.6K
    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.

    10 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…320$100$31.5K
    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…320$70$22K
    99205The provider sees a new 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 provider…120$170$20.8K
    22867Through an open approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous processes) on…20$850$15.2K
    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…80$130$9.5K
    63030This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…10$730$9.5K
    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…80$50$4.1K
    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$80$1.9K
    J1030Injection, methylprednisolone acetate, 40 mg100$10$620
    72020In this diagnostic procedure, the provider performs a single view radiological examination of a specific level of the spine. He may examine either the cervical, thoracic, or lumbar part of the spine…70$10$440

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2286761030$4,960$173.6K
    992148,97437,970120$90$23.2K
    63030415020$850$20.3K
    992135,63434,66080$70$13.2K
    992054308,36030$170$7.2K
    992044,67719,36040$120$7.2K
    206101,0572,79050$50$6K
    992037,53112,74030$80$4.6K
    7202078020$20$3.5K
    J103023269050$10$810

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Carl GrayUTHematology & Oncology Physician$3.9M$1.7M
    Artur HenkeCADermatology Physician$5.5M$0
    Joel PearlmanCARetina Specialist (Ophthalmology) Physician$3.3M$0
    Sumeer ThindaCAOphthalmology Physician$2.7M$0
    John ReedCARetina Specialist (Ophthalmology) Physician$2.7M$0
    John CanzanoCAOphthalmology Physician$2M$0
    Neesurg MehtaCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Rhonda WyattCADiagnostic Radiology Physician$1.7M$0
    Ramin ManshadiCACardiovascular Disease Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of San Luis ObispoCACommunity/Behavioral Health Agency$0$66.8M
    Pacific Point Laboratories, Inc.CAClinical Medical Laboratory$8.5M$38.8M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$25.3M
    San Luis Ambulance Service, Inc.CALand Ambulance$4.3M$7.8M
    Brian DicarloCAHematology & Oncology Physician$4.7M$0
    San Luis Obispo Surgery Center A California Limited PartnershipCAAmbulatory Surgical Clinic/Center$2.9M$0
    Daniel AgarwalCAOphthalmology Physician$2.3M$0
    Erin ChamberlainCAHematology & Oncology Physician$1.9M$0
    California Medical Surgery Center LLCCAAmbulatory Surgical Clinic/Center$1.7M$0
    Steven JohnsonCAOphthalmology Physician$1.5M$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. California Distribution
    James Carr — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California