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NPI 1942274956 · Coos Bay, OR · Surgery Physician
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Charles James is a surgery physician provider located in Coos Bay, Oregon. This profile covers 23 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Charles James |
| Address | 1900 Woodland Dr |
| City | Coos Bay |
| State | OR |
| ZIP | 97420 |
| Taxonomy | Surgery Physician |
| NPI Enumerated | February 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $127.2K |
| Medicaid | $4.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The 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… | 180 | $80 | $13.6K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 80 | $150 | $12.2K |
| 99213 | The 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… | 200 | $60 | $12K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 50 | $200 | $10.5K |
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 40 | $250 | $8.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 50 | $170 | $8.7K |
| 47562 | The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. | 20 | $490 | $7.8K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 20 | $360 | $6.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 30 | $180 | $5.5K |
| 99222 | The 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… | 60 | $100 | $5.4K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 109 | 230 | 50 | $310 | $25.2K |
| 45380 | 40 | 220 | 30 | $200 | $12K |
| G0105 | 35 | 120 | 20 | $300 | $10.6K |
| 99214 | 4,301 | 6,070 | 80 | $70 | $10.3K |
| 47562 | 2 | 10 | 10 | $720 | $10K |
| 49650 | 6 | 20 | 10 | $580 | $9.3K |
| G0121 | 9 | 70 | 20 | $300 | $9K |
| 36561 | 5 | 50 | 20 | $390 | $8.1K |
| 43239 | 58 | 240 | 30 | $120 | $6.1K |
| 99232 | 702 | 1,730 | 60 | $60 | $5.9K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 40 | $70 | $2.7K |
| 99203 | The 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… | 20 | $120 | $2K |
| 99024 | The provider performs an E/M service related to and during the global period for a surgery the patient underwent. | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 1,375 | 1,590 | 590 | $50 | $236.5K |
| 99203 | The 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… | 522 | 600 | 120 | $80 | $83.3K |
| 99024 | The provider performs an E/M service related to and during the global period for a surgery the patient underwent. | 28 | 50 | 60 | $0 | $0 |
Other providers in the same ZIP code as Charles James, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bay Cities Ambulance | OR | Land Ambulance | $1.7M | $9.5M |
| Bay Area Hospital District | OR | General Acute Care Hospital | $0 | $8.7M |
| Coos County Oregon | OR | Clinic/Center | $0 | $8.5M |
| Cep America LLC | OR | Emergency Medicine Physician | $0 | $5.7M |
| Lincare Inc. | OR | Durable Medical Equipment & Medical Supplies | $0 | $3.4M |
| Coos County Oregon | OR | Public Health or Welfare Agency | $15.8K | $3.2M |
| Coquille Indian Tribe | OR | Clinic/Center | $0 | $2.1M |
| Bay Clinic | OR | Specialist | $0 | $2M |
| Nbmc Day Surgery Inc | OR | Ambulatory Surgical Clinic/Center | $1.1M | $830.1K |
| Coastal Center, LLC. | OR | Mental Health Counselor | $0 | $1.7M |
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