Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alaska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James Eule (NPI 1871540013)

Key Findings

Field	Value
Entity Type	Individual
Organization	James Eule
Address	3801 Lake Otis Parkway
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Orthopaedic Surgery of the Spine Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicare	$400.6K
Medicaid	$0

Clinical focus: The provider’s Medicare code mix is concentrated in complex spine procedures — including instrumented fusions (22633, 22614, 22634), cervical discectomy/fusion (22551, 22552), and interbody device placement (22853) — indicating an operative spine surgery practice that regularly performs multilevel, instrumented procedures involving implants. These code descriptions and the presence of pelvic fixation (22848) and posterior instrumentation codes (22842, 22846, 22840) point to a practice centered on surgical stabilization rather than primarily conservative or nonoperative spine care.

Revenue concentration: The top three Medicare codes (22633, 22551, 22853) together account for 38.6% of the provider’s total Medicare revenue, with 22633 at 16.3%, 22551 at 12.8%, and 22853 at 9.5% of Medicare revenue. This concentration shows that a relatively small set of high-acuity surgical codes drive a substantial share of the provider’s reported Medicare payments.

Single‑payer profile: Lifetime Medicare revenue is $400.6K while there is no Medicaid billing on file, so this provider operates effectively as a Medicare-only biller in the available data. The absence of any Medicaid claims suggests limited Medicaid patient volume or non‑participation with Medicaid plans, which has implications for payer-mix exposure and contracting in markets that rely on Medicaid enrollment.

Competitive standing on key procedures: The provider ranks as an extreme outlier nationally for 22853 (99th percentile) and is notably above typical national volume for 22551 (97th percentile), while 22633 sits in the 90th percentile. Those percentiles indicate the provider performs interbody device placement and cervical fusion at volumes well above most peers nationally, even though several other commonly billed codes show typical, unremarkable national volumes.

Procedure complexity and resource use: Frequent billing of add-on fusion codes (22614, 22634) together with multiple instrumentation placement codes (22842, 22846, 22840) and bone‑harvest code 20939 suggests regular use of multilevel fusion techniques, implants, and intraoperative biologics or grafts. This pattern is consistent with higher-resource, operative spine care that typically involves inpatient or ASC surgical resources and implant expense.

Outpatient care footprint: Office E/M codes 99214 and 99213 appear among top billings (99214 reported as $20.7K and 99213 as $11K of Medicare revenue), indicating the provider maintains outpatient evaluation and follow-up visits, but these evaluation and management services represent a minority share of total Medicare revenue relative to operative codes. This mix suggests the practice generates most revenue from surgeries with outpatient visits serving pre- and post-operative management roles.

Statistical outlier context: The dataset labels for specific CPTs are informative—22853 is described as an "extreme outlier, far above typical national volume," 22551 as "notably above typical national volume," and several other major codes are characterized as "typical, unremarkable volume." These qualitative labels reinforce that while the provider is unusually active on certain implant-intensive procedures, other parts of the code portfolio align with typical national patterns.

Tenure and continuity: The NPI was enumerated on 2006-05-30 (~20 years ago), indicating long tenure and an established billing history in Medicare. That duration supports interpretation of the reported code mix as reflective of a sustained clinical focus rather than a short-term billing pattern.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22633	In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…	40	$1,760	$65.2K
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	40	$1,460	$51.1K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	150	$250	$37.8K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	80	$380	$31.7K
63051	This procedure is a cervical Laminoplasty with decompression of the spinal cord and includes two or more vertebral segments with reconstruction of the posterior bony elements.	20	$1,660	$26.5K
22552	The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…	60	$390	$24K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	30	$770	$23.1K
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…	170	$120	$20.7K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	20	$750	$17.9K
22846	The provider places spinal instrumentation at the front of the spine across four to seven vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	20	$740	$17K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orthoalaska, LLC	AK	Orthopaedic Surgery Physician	$0	$5.8M
John Botson	AK	Rheumatology Physician	$1.8M	$0
Bryan Haughom	AK	Orthopaedic Surgery Physician	$525.6K	$0
Laura Luebke	AK	Medical Physician Assistant	$428.6K	$0
Ryan Ragle	AK	Rheumatology Physician	$413.8K	$0
Mark Flanum	AK	Orthopaedic Surgery of the Spine Physician	$270K	$0
Derrick Foge	AK	Orthopaedic Surgery of the Spine Physician	$268.1K	$0
Thomas Paynter	AK	Orthopaedic Surgery Physician	$260.9K	$0
Curtis Mina	AK	Orthopaedic Surgery of the Spine Physician	$236.4K	$0
Tucker Drury	AK	Orthopaedic Surgery Physician	$228.8K	$0

James Eule — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63051	1	10	20	$1,660	$26.5K
22633	2	10	20	$1,000	$25K
22551	1	10	20	$890	$18.7K
99214	354	1,210	90	$100	$16.2K
22614	2	10	40	$280	$13.9K
63047	5	20	20	$480	$10.9K
99213	381	1,290	70	$70	$8.5K
22552	1	10	30	$230	$8K
22634	1	10	20	$380	$7.9K
22853	1	20	40	$150	$7.9K