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

    NPI 1891057923 · Durango, CO · Urology Physician

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    James Mcbride is a urology physician provider located in Durango, Colorado. This profile covers 30 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 Mcbride
    Address1010 Three Springs Blvd Ste 270
    CityDurango
    StateCO
    ZIP81301
    TaxonomyUrology Physician
    NPI EnumeratedJune 14, 2012

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

    Payer SourceTotal Paid
    Medicare$87.2K
    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.

    30 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…230$90$21.8K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…380$30$12.8K
    54405The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir…20$600$12.6K
    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…100$60$6.2K
    99204The provider sees a new 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 provider…50$110$5.6K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.120$30$3.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…40$90$3.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$130$3.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$100$1.3K
    87556The lab analyst performs a test for Mycobacterium tuberculosis using amplified nucleic acid probe technique. Mycobacteria tuberculosis are sometimes called acid fast bacteria because of the special…30$40$1.2K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877982550350$30$112.5K
    874812750120$30$25K
    5200012115070$150$15.6K
    5440511020$600$12.7K
    992141,5398,16080$80$11.3K
    87653225030$30$8.4K
    8756351080$30$8.3K
    992152,0093,23040$110$8.1K
    87500334030$30$7.5K
    87641324030$30$7.4K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kirk MitchellCOGeriatric Medicine (Internal Medicine) Physician$27.1M$1M
    Shahid JaveryCOInternal Medicine Physician$11.4M$0
    Ann AndersonNYClinical Pathology/Laboratory Medicine Physician$5.2M$0
    Zhiming YangPAAnatomic Pathology Physician$4.5M$0
    Clayton LabaumeCOSurgical Physician Assistant$1.4M$0
    Nicole DaveyTXRheumatology Physician$1.4M$0
    Misbah ZmilyNMInternal Medicine Physician$609.4K$703K
    Barry GardnerCORadiation Oncology Physician$978.8K$0
    Rima Tinawi-aljundiMIAnatomic Pathology Physician$766.3K$0
    Neal KhuranaSDVascular & Interventional Radiology Physician$704.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$18.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$6M
    Pediatric Partners Of The SouthwestCOPediatrics Physician$0$5.8M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.5M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.3M
    Nicholas HugentoblerCOFoot & Ankle Surgery Podiatrist$1.9M$0
    Kyle PiwonkaCORetina Specialist (Ophthalmology) Physician$1.7M$0
    Sano Vita IncCOCommunity/Retail Pharmacy$86.6K$359.1K
    Joshua ZastrockyCOOphthalmology Physician$352.5K$0
    Jonathan ClarkCORadiation Oncology Physician$340.9K$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. Colorado Distribution
    James Mcbride — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado