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

    NPI 1831126788 · Joplin, MO · Physician Assistant

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    James Adams is a physician assistant provider located in Joplin, Missouri. This profile covers 10 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJames Adams
    Address3302 Mcintosh Cir Ste 2
    CityJoplin
    StateMO
    ZIP64804
    TaxonomyPhysician Assistant
    NPI EnumeratedJune 27, 2006

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

    Payer SourceTotal Paid
    Medicare$63.3K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…750$50$38K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.650$20$9.7K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…350$10$4.2K
    72050In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…220$20$3.6K
    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…50$70$3.5K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.140$10$1.7K
    99203The provider sees a new 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 provider…10$50$640
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$30$610
    72070A radiologic examination of the thoracic spine is an X–ray of the twelve chest thoracic vertebrae. An AP and lateral are basic projections. The X–rays are used in a controlled way to minimize the…60$10$580
    72080In this diagnostic procedure, the provider performs a minimum of two X–ray views of the area where the thoracic spine meets the lumbar spine to examine the patient's thoracolumbar junction for…30$10$340

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,3448,960100$80$13.9K
    992131558,73070$50$7K
    992032,4332,95030$70$3.2K
    992121,4281,93030$30$2K
    72100657030$10$790
    72110134030$20$670
    7208052020$20$480
    72050119020$20$460
    72040631030$10$450
    72070413020$10$320

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$33.2M
    Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$31.8M
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    Freeman-oak Hill Health SystemMOMulti-Specialty Clinic/Center$0$14.7M
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$6.2M
    West County Radiological Group, Inc.MODiagnostic Radiology Physician$0$5.4M
    Mercy Clinic Joplin LLCKSFamily Medicine Physician$0$714.2K
    Dushyant VermaMOHematology & Oncology Physician$615.5K$0
    Eric CarlsonMOMedical Oncology Physician$579.8K$0
    William NicholasMOInterventional Cardiology Physician$518.5K$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. Missouri Distribution
    James Adams — 6 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri