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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Vestal
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    James Vestal — Billing Profile & Reimbursement Data

    NPI 1770579161 · Arlington, TX · Urology Physician

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    James Vestal is a urology physician provider located in Arlington, Texas. This profile covers 32 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 Vestal
    Address5005 S Cooper St Ste 250
    CityArlington
    StateTX
    ZIP76017
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 21, 2005

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

    Payer SourceTotal Paid
    Medicare$296.7K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1952Leuprolide injectable, camcevi, 1 mg1,340$60$86K
    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…710$90$61.4K
    J0897Injection, denosumab, 1 mg2,220$20$40K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…120$180$20.3K
    99490The 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…300$50$14.4K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg110$130$13.9K
    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…60$130$7.7K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…150$50$6.9K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…80$70$5.6K
    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…70$70$4.5K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08973686502,580$20$79.2K
    J1952320760$60$59.2K
    J9217140270110$130$18.4K
    992141,83132,500110$80$17.6K
    994905171,520180$40$16.2K
    5200010060060$160$12K
    9942646120110$50$11.8K
    844036533040$30$11.8K
    800531,5432,650130$10$10.6K
    992239,2619,99040$130$9.5K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jerry BarkerTXRadiation Oncology Physician$1.7M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Medical Clinic Of North Texas PLLCTXRadiation Oncology Clinic/Center$1.1M$0
    Christopher JordanCOHematology & Oncology Physician$970.8K$0
    Rita Fe TibbsTXAnatomic Pathology & Clinical Pathology Physician$707.1K$0
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0
    Adam ColeARAnatomic Pathology & Clinical Pathology Physician$472.3K$0
    Weber ChuangTXUrology Physician$400.3K$0
    John CaseTXUrology Physician$354K$0
    Revathi AngitapalliTXHematology & Oncology Physician$350.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christian TwamleyTXOptometrist$65.7K$684.9K
    Keith XavierTXUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$270.9K$0
    Tracy Cannon-smithTXUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$261.2K$0
    Richard Bevan-thomasTXUrology Physician$254.1K$0
    William HoustonTXPhysician Assistant$235.1K$0
    Usmd Diagnostic Services, LLCTXRadiology Clinic/Center$198.6K$0
    Geoffrey NussTXUrology Physician$180.9K$0
    Rebecca HernandezTXFamily Medicine Physician$152.8K$0
    Hanh NguyenTXFamily Medicine Physician$139.1K$0
    Dominic TangTXUrology Physician$132.7K$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. Texas Distribution
    James Vestal — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas