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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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 West (NPI 1891779344)

Field	Value
Entity Type	Individual
Organization	James West
Address	1265 Upper Hembree Road
City	Roswell
State	GA
ZIP	30076
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 29, 2005

Payer Source	Total Paid
Medicare	$155.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	230	$120	$28.1K
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…	260	$80	$21.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	480	$40	$21.3K
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…	260	$60	$15.5K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	160	$90	$14.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	240	$50	$12.6K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	270	$30	$9K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	110	$70	$7.5K
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	230	$20	$4.2K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	60	$60	$4K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

James West — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99487	30	100	70	$100	$23.4K
99214	3,676	13,640	120	$80	$17.8K
99489	63	80	130	$50	$16.1K
99490	121	680	160	$40	$15.1K
99458	162	190	210	$30	$13.7K
G0439	336	2,900	70	$120	$12.4K
99457	202	290	170	$30	$12.4K
99491	52	80	90	$60	$9.2K
99213	2,403	13,360	80	$60	$9.2K
99439	48	330	70	$30	$6.5K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellstar North Fulton Hospital, Inc	GA	General Acute Care Hospital	$0	$7.8M
Central Emergency Medical Services LLC	GA	Land Ambulance	$6.6M	$100
E M S Ventures Inc	GA	Land Ambulance	$2.5M	$0
Christopher Buckley	GA	MOHS-Micrographic Surgery Physician	$1.7M	$0
Richard Kaufman	GA	Foot & Ankle Surgery Podiatrist	$1.2M	$0
Rabiul Alam	GA	Infectious Disease Physician	$1.1M	$0
Roswell Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Jatin Patel	GA	Rheumatology Physician	$1.1M	$0
North Fulton Pediatrics	GA	Pediatrics Physician	$0	$935.1K
Eboni Mormant	GA	Professional Counselor	$0	$798.3K

James West — Billing Profile & Reimbursement Data

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James West — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References