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

    NPI 1760416200 · Warren, OH · Family Medicine Physician

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    James Nichols is a family medicine physician provider located in Warren, Ohio. This profile covers 13 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 Nichols
    Address1932 Niles Cortland Rd Ne Ste P
    CityWarren
    StateOH
    ZIP44484
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicare$50.3K
    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.

    13 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…300$80$23K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$120$11.6K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$160$3.5K
    90677This 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…10$260$2.8K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…30$80$2.1K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…10$150$2K
    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$1.9K
    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…30$60$1.4K
    G0008Administration of influenza virus vaccine30$30$930
    G0009Administration of pneumococcal vaccine10$30$320

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,13020,010100$70$11.7K
    G04391,4474,72060$90$7.4K
    9921316,24820,00070$50$6.6K
    906771,9592,15020$280$6.5K
    992154,1504,95030$110$5.9K
    906941,5792,28050$80$5.8K
    G043819976020$130$2.9K
    830361,6332,11040$10$2.4K
    9949547562020$110$2.2K
    G00083,2455,28050$30$2.1K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Mercy Health Youngstown LLCOHGeneral Acute Care Hospital$0$36.6M
    Mercy Health Physicians Youngstown, LLCOHFamily Medicine Physician$0$25.1M
    Mercy Health Physicians North Specialty Care LLCOHSurgery Physician$0$13.1M
    Mercy Health Physicians Youngstown Specialty Care LLCOHSurgery Physician$0$11.8M
    Jonathan WiesenVAInternal Medicine Physician$2.4M$0
    Parisa KhavariOHObstetrics & Gynecology Physician$26.5K$1.8M
    Dinesh SundarakumarTXDiagnostic Radiology Physician$916K$0
    Reema TanejaOHInternal Medicine Physician$360.9K$5.1K
    William WoodsOHOrthopaedic Surgery Physician$357K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Youngstown LLCOHGeneral Acute Care Hospital$0$43.6M
    First Step Recovery Of Warren LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$38.9M
    Ohio North East Health Systems, IncOHFederally Qualified Health Center (FQHC)$0$14M
    Avamar Center For Endoscopy,incOHEndoscopy Clinic/Center$466.6K$524.5K
    Mazen MahjoubOHSpecialist$572.9K$317.8K
    Lippy Surgery Center LLCOHAmbulatory Surgical Clinic/Center$257K$551.8K
    Mehrdad ZarrinmakanOHThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$738.6K$0
    Morgan HottOHMOHS-Micrographic Surgery Physician$581.4K$0
    Kapil KwatraOHInternal Medicine Physician$495.1K$13.5K
    Fadi NaddourOHCardiovascular Disease Physician$436.7K$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. Ohio Distribution
    James Nichols — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio