Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James York (NPI 1730113440)

Field	Value
Entity Type	Individual
Organization	James York
Address	300 Stonecrest Blvd Ste 230
City	Smyrna
State	TN
ZIP	37167
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$25K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	70	$240	$15.7K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	30	$120	$3.5K
62321	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…	20	$190	$2.8K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	2,020	$0	$0
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	8,100	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

James York — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64483	75	150	70	$190	$25.8K
62321	87	100	30	$160	$7.5K
27096	61	100	40	$110	$4.7K
Q9966	4	50	1,090	$1	$860
J1100	77	1,640	160	$1	$40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pain Management Group, P.C.	TN	Interventional Pain Medicine Physician	$0	$4.2M
Michelle Pitts	TN	Nurse Practitioner	$358.4K	$0
Jeremy Walker	TN	Pain Medicine Physician	$188.7K	$0
Whitney Matthews	TN	Nurse Practitioner	$137.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spark Dental Tn, PLLC	TN	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$33.8M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$28.2M
Spero Health Of Tennessee, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$23.4M
Grace Pediatrics PLLC	TN	Pediatrics Physician	$0	$12M
Feltz Therapy Services, LLC	TN	Rehabilitation Clinic/Center	$0	$11.1M
Children's Dentistry Of Smyrna	TN	Pediatric Dentistry	$0	$8.2M
Nurture Pediatrics, PLLC	TN	Pediatrics Physician	$0	$5M
Cumberland Pediatric Dentistry And Orthodontics Of Murfreesboro, PLLC	TN	Pediatric Dentistry	$0	$4.1M
Smyrna Pediatrics PLLC	TN	Pediatrics Physician	$0	$3.7M
Newberry Emergency Physicians PLLC	TN	Emergency Medicine Physician	$0	$3M

James York — Billing Profile & Reimbursement Data

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James York — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References