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

    NPI 1902801988 · Edinburg, TX · Otolaryngology Physician

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    James Wright is a otolaryngology physician provider located in Edinburg, Texas. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Wright
    Address3118 Center Pointe Drive
    CityEdinburg
    StateTX
    ZIP78539
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 16, 2005

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

    Payer SourceTotal Paid
    Medicare$122.7K
    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
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.20$3,600$68.3K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…20$1,710$30.9K
    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…140$60$8.3K
    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…70$80$4.9K
    30802In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to perform ablation of the submucosal area of the inferior turbinates.20$120$2.7K
    61782In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$130$2.4K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.20$90$2.1K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.30$60$2K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.60$10$700
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…40$20$540

    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
    31298174020$3,700$99.9K
    31295285020$1,610$45K
    992139,05329,79070$60$8.4K
    3157540855040$90$4.6K
    61782153020$140$3.5K
    992032,45210,82030$70$3.4K
    3080241020$110$2.5K
    704863731,02030$50$2K
    9256734160070$10$1.2K
    92587123030$20$670

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Asha KarippotTXHematology & Oncology Physician$1.4M$0
    Jason ShumadineVARadiation Oncology Physician$669.4K$0
    David WoodCADiagnostic Radiology Physician$641.3K$2.7K
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Ryan Jean-baptisteCADiagnostic Radiology Physician$517K$47K
    Susannah CooperAZHematology & Oncology Physician$342.4K$0
    Jeremy TheisenOKDiagnostic Radiology Physician$308.4K$0
    Ajay SinghPADiagnostic Radiology Physician$290.3K$6K
    Rodolfo GarciaTXDiagnostic Radiology Physician$282.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcallen Hospitals L PTXGeneral Acute Care Hospital$0$124.6M
    Doctors Hospital At Renaissance, LtdTXGeneral Acute Care Hospital$0$65.1M
    Tropical Texas Behavioral HealthTXMulti-Specialty Clinic/Center$0$61.5M
    Nuestro Sagrado Corazon Primary Home Care, Inc.TXPersonal Care Attendant$0$56.5M
    Regional Nursing Services Mgmt., Inc.TXHome Health Agency$0$45.5M
    Verge Primary Home CareTXPersonal Care Attendant$0$42.7M
    Arc Primary Care, LLC.TXHome Health Agency$0$42.3M
    Heaven Sent Services, L.L.C.TXPersonal Care Attendant$0$40.4M
    Ddnj, Inc.TXIn Home Supportive Care Agency$0$34.3M
    Life Choices Unlimited, Inc.TXChild Intellectual and/or Developmental Disabilities Respite Care$0$28M

    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. Texas Distribution
    James Wright — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas