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

    NPI 1912900630 · Newark, DE · Cardiovascular Disease Physician

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    James Hopkins is a cardiovascular disease physician provider located in Newark, Delaware. This profile covers 15 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 Hopkins
    Address252 Chapman Road
    CityNewark
    StateDE
    ZIP19702
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 27, 2005

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

    Payer SourceTotal Paid
    Medicare$98K
    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.

    15 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…460$70$33.4K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…30$600$16.1K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…20$430$10.4K
    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…50$110$5.1K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…20$200$4.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$60$4.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$140$4.2K
    99205The provider sees a new 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 provider…30$140$3.8K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…10$290$3.8K
    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…30$100$2.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143711,830150$80$25.5K
    3336151020$590$17K
    9923344650080$90$15.4K
    99232453730120$60$14.2K
    92928122030$440$13.8K
    992131,2521,810120$60$13.6K
    93458223050$200$11.9K
    9921526657040$120$11K
    9922334350050$130$10.4K
    9920461195030$110$6.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Nemours FoundationDEMulti-Specialty Clinic/Center$0$172M
    The Nemours FoundationFLChildren's Hospital$0$104.9M
    The Nemours FoundationDEChildren's Hospital$0$104M
    The Nemours FoundationFLMulti-Specialty Clinic/Center$0$46.2M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Nemours Children's Health, Jacksonville, Specialty CareFLMulti-Specialty Clinic/Center$0$23.6M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M
    Children's Health Alliance, LLCFLPediatrics Physician$0$9.6M
    Michael KlufasPAOphthalmology Physician$7M$0
    Richard KaiserPAOphthalmology Physician$6.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicDEMental Illness Community Based Residential Treatment Facility$0$118.5M
    Community Systems, Inc.DEIntellectual & Developmental Disabilities Psychologist$0$96.7M
    Resources For Human Development Inc.DEIntellectual & Developmental Disabilities Psychologist$0$86M
    Epic Health Services (de), LLCDEHome Health Agency$0$33.7M
    Jay J Harris Dmd PCDEDentist$0$16.7M
    Elite Home Health Care IncDEIn Home Supportive Care Agency$0$14.8M
    Accredo Health Group IncDEPharmacy$0$10.2M
    Bear-glasgow Dental, LLCDEGeneral Practice Dentistry$0$8.2M
    Center For Child Development, IncorporatedDEPsychologist$0$4.9M
    Comfort Care At Home, Inc.DEHome Health Agency$0$4M

    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. Delaware Distribution
    James Hopkins — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware