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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Koske
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    James Koske — Billing Profile & Reimbursement Data

    NPI 1972740496 · Newport News, VA · Orthopedic Physical Therapist

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    James Koske is a orthopedic physical therapist provider located in Newport News, Virginia. This profile covers 8 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Koske
    Address250 Nat Turner Blvd.
    CityNewport News
    StateVA
    ZIP23606
    TaxonomyOrthopedic Physical Therapist
    NPI EnumeratedJanuary 21, 2009

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

    Payer SourceTotal Paid
    Medicare$140.5K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…5,690$20$113.8K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…130$80$10.5K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…430$20$7.2K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care470$10$3.3K
    97012Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…160$10$1.4K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…10$80$1.1K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.30$30$700
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…20$20$320

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975301,8391,880340$30$14.6K
    971101,2482,210510$20$14.3K
    9711231,870350$20$11.7K
    97116342350110$20$5.1K
    97161251,07030$70$3.2K
    971629481,10030$70$2.9K
    G028369500150$10$1.7K
    97012137090$10$960

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark McfarlandVAOrthopaedic Surgery of the Spine Physician$880.5K$0
    Boyd HaynesVAOrthopaedic Surgery Physician$599.5K$0
    Jeffrey CarlsonVAOrthopaedic Surgery of the Spine Physician$593.3K$0
    Raj SurejaVAInterventional Pain Medicine Physician$555.8K$0
    John David BurrowVAOrthopaedic Surgery Physician$425.4K$0
    Jenny AndrusVAInterventional Pain Medicine Physician$344.9K$0
    Martin ColemanVAOrthopaedic Surgery Physician$180K$0
    Robert SnyderVAOrthopaedic Surgery Physician$174.5K$0
    Paige BoykinOHPhysical Therapist$115.8K$0
    Joel StewartVAOrthopaedic Foot and Ankle Surgery Physician$85.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Counseling Group, IncVAMental Health Counselor$0$25.9M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$20M
    Care Advantage, IncVAHome Health Agency$0$17.4M
    Behavior Health & Wellness Center, LLCVABehavior Analyst$0$15.8M
    Personal Touch Home Care Of Va, IncVAHome Health Agency$0$14.6M
    Odyssey Community Services IncVACommunity/Behavioral Health Agency$0$14.4M
    Hope In-home Care LLCVAHome Health Agency$0$10.2M
    1life1love, Inc.VACommunity/Behavioral Health Agency$0$9.2M
    Beyond Disabilities, LLCVADevelopmentally Disabled Services Day Training Agency$0$7.9M
    Childrens Medical Group IncVAPediatrics Physician$0$7.1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    James Koske — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia