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

    NPI 1811006091 · Lewiston, ID · Family Medicine Physician

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    James Maguire is a family medicine physician provider located in Lewiston, Idaho. This profile covers 43 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 Maguire
    Address2315 8th St
    CityLewiston
    StateID
    ZIP83501
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$175.4K
    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.

    43 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…860$70$59.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit270$120$32.2K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…290$70$21.2K
    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…170$50$8.7K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$150$5.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.370$10$4.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.680$10$4.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.360$10$3.6K
    G0444Annual depression screening, 5 to 15 minutes220$20$3.5K
    G0103Prostate cancer screening; prostate specific antigen test (psa)160$20$3K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    770675880220$40$16.4K
    99214232,69090$70$10.4K
    770635880220$30$10.1K
    G0439853060$110$8.9K
    99490799090$40$8.1K
    992135772,77070$50$5.7K
    99497311040$60$4.4K
    G043854020$150$3.5K
    84443257060$20$3.3K
    8005320120100$10$3K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Hospital LLCIDGeneral Acute Care Hospital$0$45.7M
    Catalyst Medical Group, PLLCIDMulti-Specialty Clinic/Center$0$11.4M
    Upper Valley Family Medicine PLLCIDFamily Medicine Physician$0$1.9M
    Vannvei LLCIDMulti-Specialty Clinic/Center$0$581.6K
    Wenshu YuUTRheumatology Physician$396.3K$0
    Cc Pocatello LLCIDFamily Medicine Physician$0$384.5K
    James BlaineIDMedical Physician Assistant$297.2K$0
    Terry BakerIDOtolaryngology Physician$74.8K$181.8K
    John ChambersIDCardiovascular Disease Physician$239K$0
    Patrick GormanIDCardiovascular Disease Physician$236.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alternative Nursing Services, Inc.IDAdult Day Care Clinic/Center$0$29.3M
    Opportunities Unlimited, Inc.IDSpecialist$0$9.1M
    St. Joseph Hospital LLCIDGeneral Acute Care Hospital$0$4.7M
    County Of Nez Perce Independent School District No 1IDLocal Education Agency (LEA)$0$3.5M
    Community Health Association Of SpokaneIDFederally Qualified Health Center (FQHC)$0$3.2M
    City Of LewistonIDLand Ambulance$697.3K$1.9M
    Riverside Recovery LLCIDAddiction (Substance Use Disorder) Counselor$0$2.1M
    Addus Healthcare (idaho), IncIDIn Home Supportive Care Agency$0$2M
    Emeritus Properties Ii, Inc.IDAssisted Living Facility$0$1.9M
    Hospitalist Medicine Physicians Of Idaho- Nampa PLLCIDEmergency Medicine Physician$0$1.7M

    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. Idaho Distribution
    James Maguire — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho