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 Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

John James (NPI 1881835510)

Field	Value
Entity Type	Individual
Organization	John James
Address	95 Glastonbury Blvd Ste 202
City	Glastonbury
State	CT
ZIP	06033
Taxonomy	Sports Medicine (Emergency Medicine) Physician
NPI Enumerated	March 9, 2009

Payer Source	Total Paid
Medicare	$51.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	30	$1,200	$35.9K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	30	$160	$5.5K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	40	$100	$4.2K
99203	The 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…	30	$80	$2.5K
99212	The 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,…	50	$50	$2.3K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	20	$50	$970

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

John James — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36465	10	20	30	$1,110	$66.6K
93970	117	290	30	$80	$4.3K
99203	1,176	2,250	30	$80	$3.5K
93971	157	320	40	$50	$3.2K
99212	399	1,340	30	$40	$2.2K
76942	109	180	20	$30	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Bank Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$9.2M
Connecticut Phlebology PC	CT	Surgery Physician	$0	$3.2M
Mvc Ct	CT	Surgery Physician	$0	$2.7M
Brian Baxt	CT	Phlebology Physician	$286.9K	$0
Christopher Lynch	CT	Adult Reconstructive Orthopaedic Surgery Physician	$264K	$0
Philip Minotti	CT	Adult Reconstructive Orthopaedic Surgery Physician	$223.3K	$0
Nathan Douglass	NY	Orthopaedic Hand Surgery Physician	$202.4K	$0
John Mccallum	CT	Orthopaedic Surgery Physician	$182.9K	$0
Donna Simmers-dabinett	NJ	Emergency Medicine Physician	$180.1K	$0
Stephen Nelson	CT	Orthopaedic Surgery Physician	$177.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trading Spaces Aba, LLC	CT	Community/Behavioral Health Agency	$0	$6.7M
Allergy Associates Of Hartford, PC	CT	Allergy Physician	$0	$4.7M
M And M Industries, LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Michael Pines	CT	Psychologist	$0	$1.9M
Glastonbury Volunteer Ambulance Association Inc	CT	Ambulance	$335.1K	$745.6K
Samuel Asomaning	CT	Adult Health Nurse Practitioner	$675.6K	$0
Glastonbury Endoscopy Center, LLC	CT	Ambulatory Surgical Clinic/Center	$379.2K	$104.3K
Christopher Scola	CT	Rheumatology Physician	$455.5K	$0
John Vischio	CT	Rheumatology Physician	$401.4K	$0
Glastonbury Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$393.6K	$0

John James — Billing Profile & Reimbursement Data

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John James — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References