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

    NPI 1750378485 · Asheville, NC · Pulmonary Disease Physician

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    James Graham is a pulmonary disease physician provider located in Asheville, North Carolina. This profile covers 15 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 Graham
    Address1100 Tunnel Rd
    CityAsheville
    StateNC
    ZIP28805
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedSeptember 27, 2005

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

    Payer SourceTotal Paid
    Medicare$83.4K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…120$160$18.6K
    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…170$80$13.4K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.110$90$10.6K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…80$90$7.4K
    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…70$100$6.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$90$6.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$60$5.2K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.120$30$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$3K
    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…20$140$2.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,61118,060110$80$15.1K
    95811912040$260$12.1K
    958102514040$250$11.8K
    992332,0514,23070$90$10.1K
    992912752,63040$160$9.3K
    992322,5115,69070$60$8.1K
    992153,7625,72040$110$7.7K
    9921311,35116,32070$50$7.1K
    992051,6532,29020$140$4.9K
    992041,6388,43030$110$4.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mission Health Community Multispecialty Providers, LLCNCInternal Medicine Physician$0$24.1M
    Moore Pediatric Therapy SerivcesNCSpecialist$0$19.1M
    Sean WarschNCHematology & Oncology Physician$1.9M$0
    Mohan ThakuriNCHematology & Oncology Physician$1.5M$0
    Trevor AustinNCHematology & Oncology Physician$1.4M$0
    Charles BryanNCHematology & Oncology Physician$1M$0
    Andrew BeardsleyNCHematology & Oncology Physician$958.6K$0
    Rachel RaabNCHematology & Oncology Physician$714.2K$0
    Shantae LucasNCHematology & Oncology Physician$572.1K$0
    Charles AllenNCInternal Medicine Physician$475K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    October Road Inc.NCCommunity/Behavioral Health Agency$0$24.6M
    Mountain Area Pediatric Associates, P.A.NCPediatrics Physician$0$12.5M
    Liberty Corner Enterprises, IncNCCommunity/Behavioral Health Agency$0$7.9M
    Thomas BrosnanNCOphthalmology Physician$234.7K$0
    Erin WeedenNCAnatomic Pathology & Clinical Pathology Physician$95.7K$0
    Teresa DavidsonNCPhysician Assistant$88.5K$0
    Brittany HedgesNCPhysical Therapist$82.5K$0
    Kelly McalvanyNCUrology Physician$74.8K$0
    Lisa OlsonNCPhysical Therapist$71.5K$0
    Keith SalesNCPhysical Therapist$67.9K$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. North Carolina Distribution
    James Graham — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina