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

    NPI 1912995713 · Fort Smith, AR · Nephrology Physician

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    James Henry is a nephrology physician provider located in Fort Smith, Arkansas. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Henry
    Address1500 Dodson Ave
    CityFort Smith
    StateAR
    ZIP72901
    TaxonomyNephrology Physician
    NPI EnumeratedOctober 6, 2005

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

    Payer SourceTotal Paid
    Medicare$128.1K
    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
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…170$140$24.7K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…110$210$23.1K
    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…360$60$21K
    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…330$60$18.7K
    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…120$80$10.1K
    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…70$120$9.1K
    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…70$90$6.3K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…90$50$5K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…120$40$4.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$90$4.3K

    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
    992142,2814,300130$70$18.8K
    99233700960130$90$18.2K
    90961125070$210$17.8K
    992323111,450130$60$14.7K
    992234671,17050$120$10.6K
    9096222060$140$10K
    992136564,180100$50$9.6K
    90935165060$50$5.5K
    992222221,02030$90$4.9K
    9923110363050$40$4.2K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health ServicesARFamily Medicine Physician$0$9.9M
    Fort Smith Regional Dialysis Center LLCAREnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.1M
    Ameer AlmullahassaniCANeurology Physician$504.3K$0
    Hrair SimonianARGastroenterology Physician$405.7K$3.1K
    Ronald KantolaARSpecialist$362.6K$0
    Varant ArzoumanianARHematology & Oncology Physician$324.4K$0
    Abdul-nasser AdjeiARCardiovascular Disease Physician$315.4K$0
    Jeramie Rosales RodriguezMOPsychiatry Physician$2.1K$289.9K
    Robert ParrisARCardiovascular Disease Physician$280.4K$0
    Mohammad AnowerARInternal Medicine Physician$278K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vent S Murphy Dds Ms PLLCARPediatric Dentistry$0$19.7M
    Baptist Health Regional HospitalsARGeneral Acute Care Hospital$0$17.5M
    River Valley Pediatric Dentistry PLLCARPediatric Dentistry$0$9.7M
    University Of Arkansas For Medical SciencesARDevelopmental - Behavioral Pediatrics Physician$0$9.2M
    Lhcg Civ, LLCARIn Home Supportive Care Agency$0$5.2M
    Abilities Unlimited Of Fort Smith IncARNon-emergency Medical Transport (VAN)$0$4.9M
    Area Agency On Aging Of Western Arkansas, IncARHome Health Agency$0$3.9M
    University Of Arkansas For Medical SciencesARFamily Medicine Physician$0$3M
    Fort Smith Hma, LLCARGeneral Acute Care Hospital$0$2.4M
    Area Agency On Aging Of Western Arkansas, IncARHome Health Agency$0$1.8M

    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. Arkansas Distribution
    James Henry — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas