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

    NPI 1790771244 · Asheville, NC · Family Medicine Physician

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    James Ladd is a family medicine physician provider located in Asheville, North Carolina. This profile covers 40 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 Ladd
    Address147 Asheland Avenue
    CityAsheville
    StateNC
    ZIP28801
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 21, 2005

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

    Payer SourceTotal Paid
    Medicare$140.2K
    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.

    40 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…640$80$49.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit180$120$21.1K
    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…40$260$10.6K
    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…130$50$6.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…70$70$4.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.330$10$4.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.600$10$4.2K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…240$20$3.8K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…110$30$3.2K
    77085The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or…70$50$3.1K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8230621987050$30$20.2K
    844432131,09090$20$18K
    800611951,180110$10$17.4K
    800533911,400100$10$16.5K
    9921493618,060110$80$15.1K
    G04395064,16060$120$10.5K
    99490594750120$40$10.3K
    826079760030$10$8.7K
    992153,8625,72040$110$7.7K
    850253261,92080$10$7.4K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher BailesLAFamily Medicine Physician$127.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rha Health Services Nc, LLCNCDevelopmentally Disabled Services Day Training Agency$0$117.3M
    Mh Mission Hospital, LllpNCGeneral Acute Care Hospital$0$62.2M
    Rha Health Services, Inc.NCCommunity/Behavioral Health Agency$0$30.1M
    Daymark Recovery Services IncNCCommunity/Behavioral Health Agency$0$17.5M
    Rafael Rivera, Jr., Dds, PLLCNCDentist$0$16.4M
    Rha Behavioral Health Nc LLCNCCommunity/Behavioral Health Agency$0$12.6M
    Leslie WessingerNCGeneral Practice Dentistry$0$9M
    F.i.r.s.t.NCCommunity/Behavioral Health Agency$0$8.7M
    Coram Alternate Site Services, Inc.NCHome Infusion Agency$0$8.2M
    Keystone Laboratories, Inc.NCClinical Medical Laboratory$435.4K$4.1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    James Ladd — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina