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

    NPI 1922125053 · Richmond, VA · Interventional Cardiology Physician

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    James Garnett is a interventional cardiology physician provider located in Richmond, Virginia. This profile covers 33 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 Garnett
    Address8700 Stony Point Pkwy Ste 120
    CityRichmond
    StateVA
    ZIP23235
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedMarch 23, 2007

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

    Payer SourceTotal Paid
    Medicare$424.4K
    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.

    33 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…720$90$64.8K
    99490The 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…1,100$50$51.8K
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…30$1,080$36.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…230$140$32.2K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.800$40$30.2K
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…20$1,800$27K
    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…40$580$22.7K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries100$230$22.5K
    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…330$60$20.1K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…60$250$14.2K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78431455030$1,750$98K
    78492244040$1,090$45.6K
    A95553550120$290$43.1K
    93306358580300$80$26.2K
    33361327040$580$25.1K
    9921499712,890140$80$21K
    7845225741070$180$17.2K
    9949043510130$50$15.5K
    A950067100130$90$15.3K
    J278587180290$40$14.4K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Cardiovascular SpecialistsVAAmbulatory Surgical Clinic/Center$1.9M$0
    Dean CavenVACardiovascular Disease Physician$762K$0
    Ashwani KumarVAInterventional Cardiology Physician$675.7K$0
    Sameer RohatgiVAInterventional Cardiology Physician$598K$0
    Darryn AppletonVAInterventional Cardiology Physician$590.5K$0
    George MuellerVACardiovascular Disease Physician$563.5K$0
    Michael ErwinVAInterventional Cardiology Physician$559.3K$0
    Anoop ShahVAInterventional Cardiology Physician$551.9K$0
    William CobleVACardiovascular Disease Physician$544K$80
    Dhavalkumar PatelVAInterventional Cardiology Physician$540.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lighthouse Behavioral Health Center, LLCVACommunity/Behavioral Health Agency$0$16.5M
    Radiology Associates Of Richmond IncVADiagnostic Radiology Physician$0$14.2M
    Hobby Home Care, LLCVAHome Health Agency$0$12M
    The Pediatric Connection, IncVANursing Care Agency$0$11.7M
    Caremed, IncVAHome Health Agency$0$10.7M
    Care Advantage, IncVAHome Health Agency$0$10.7M
    Family Guidance Of VirginiaVACommunity/Behavioral Health Agency$0$9.6M
    Daily Grace, LLCVACommunity/Behavioral Health Agency$0$9.1M
    Trinity Care LLCVACommunity/Behavioral Health Agency$0$7.8M
    Stony Point Surgery Center, L.L.CVAAmbulatory Surgical Clinic/Center$4.9M$1.4M

    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. Virginia Distribution
    James Garnett — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia