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    OpenPayerNPI Medicare & MedicaidJean James
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    Jean James — Billing Profile & Reimbursement Data

    NPI 1902932700 · Los Angeles, CA · Nurse Practitioner

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    Jean James is a nurse practitioner provider located in Los Angeles, California. This profile covers 13 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJean James
    Address12021 Wilmington Ave
    CityLos Angeles
    StateCA
    ZIP90059
    TaxonomyNurse Practitioner
    NPI EnumeratedFebruary 26, 2007

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

    Payer SourceTotal Paid
    Medicare$8.7K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…50$50$2.5K
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.20$80$1.8K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.10$60$790
    88187The clinician, typically a pathologist, interprets flow cytometry results of two to eight markers.30$20$730
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.20$30$610
    87522A lab tests a patient’s specimen to measure the amount of hepatitis C virus present. This may be referred to as viral load.10$40$590
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.10$30$440
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.40$10$290
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…30$10$260
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.30$10$260

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    875363130100$80$40.6K
    80061677700110$10$35.3K
    86480506020$60$31.8K
    80053739950110$10$30.1K
    850259131,210150$10$17.2K
    87522354060$40$13.5K
    9921321,89034,66080$70$13.2K
    87491879080$30$12.3K
    87591899080$30$12.1K
    364153,1154,54080$10$7.4K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martin Luther King, Jr. - Los Angeles (mlk-la) Healthcare CorporationCAGeneral Acute Care Hospital$0$83.6M
    Los Angeles County Department Of Mental HealthCAMental Health Clinic/Center (Including Community Mental Health Center)$0$66M
    County Of Los Angeles Auditor ControllerCAClinic/Center$0$58.9M
    Vep Mlk Emergency Medical Group IncCAEmergency Medicine Physician$0$30.9M
    Los Angeles County Department Of Mental HealthCAMental Health Clinic/Center (Including Community Mental Health Center)$0$25.6M
    Apollonia GodoyCAPrimary Care Nurse Practitioner$16.7K$0
    Ellen RothmanCAPediatrics Physician$13.5K$0
    Cesario DayahanCAAnesthesiology Physician$9.6K$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. California Distribution
    Jean James — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California