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NPI 1821075904 · Franklin, MA · Foot & Ankle Surgery Podiatrist
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James Anderson is a foot & ankle surgery podiatrist provider located in Franklin, Massachusetts. This profile covers 12 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Anderson |
| Address | 184 W Central St |
| City | Franklin |
| State | MA |
| ZIP | 02038 |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| NPI Enumerated | December 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $208K |
| Medicaid | $5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 1,030 | $70 | $71.8K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 580 | $60 | $37.4K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 750 | $40 | $26.1K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 180 | $110 | $18.6K |
| 11057 | The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 230 | $70 | $16.5K |
| 99214 | The 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… | 160 | $110 | $16.5K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 80 | $90 | $7.2K |
| 29540 | The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,… | 140 | $30 | $3.9K |
| 29581 | The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A… | 40 | $80 | $3.4K |
| 10060 | The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 30 | $110 | $2.6K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11056 | 35 | 230 | 170 | $60 | $20K |
| 11721 | 68 | 290 | 270 | $30 | $18.6K |
| 99214 | 5,828 | 15,410 | 110 | $80 | $15.6K |
| 11042 | 87 | 250 | 100 | $60 | $11.5K |
| 11057 | 9 | 80 | 70 | $70 | $9K |
| 99213 | 158 | 13,700 | 70 | $60 | $8.8K |
| 11720 | 123 | 190 | 120 | $30 | $7.5K |
| 97597 | 41 | 140 | 50 | $50 | $4.9K |
| 29581 | 7 | 10 | 60 | $50 | $4.1K |
| 99203 | 2,570 | 4,290 | 30 | $80 | $4.1K |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 90 | $60 | $5K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 3,436 | 5,300 | 230 | $60 | $164.5K |
Other providers in the same ZIP code as James Anderson, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hudson Home Health Care, Inc. | MA | Durable Medical Equipment & Medical Supplies | $0 | $11.8M |
| Horace Mann Educational Assoc., Inc | MA | Home Health Agency | $0 | $8.1M |
| Town Of Franklin | MA | Land Ambulance | $531.1K | $854K |
| Thomas Conley | MA | Rheumatology Physician | $186.9K | $0 |
| Lori Graham | MA | Physical Therapist | $127.6K | $0 |
| Kenneth Sperber | MA | Family Medicine Physician | $14.2K | $102.1K |
| Thorley Cook | MA | Internal Medicine Physician | $95.2K | $0 |
| Gregory Patt | MA | Physical Therapist | $80.5K | $520 |
| Seema Doshi | MA | Dermatology Physician | $80.6K | $0 |
| Donna Gladney | MA | Acute Care Nurse Practitioner | $5.1K | $0 |
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