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

    NPI 1992779656 · Fayetteville, NC · Orthopaedic Surgery Physician

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    James Flanagan is a orthopaedic surgery physician provider located in Fayetteville, North Carolina. This profile covers 35 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 Flanagan
    Address4140 Ferncreek Dr
    CityFayetteville
    StateNC
    ZIP28314
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedFebruary 17, 2006

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

    Payer SourceTotal Paid
    Medicare$277.3K
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…780$60$47.8K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$960$39.4K
    J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg2,260$10$29.3K
    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.960$30$23.9K
    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…1,490$20$23.8K
    97750The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…970$20$18.4K
    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…910$20$17.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…280$50$14.4K
    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…130$90$12.1K
    99203The 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…110$70$7.5K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744716546030$1,000$41.8K
    J732220601,430$10$26.1K
    992148,04918,060110$80$15.1K
    6472110512030$400$14.1K
    260559310030$300$11.4K
    975302321,960270$20$11.4K
    971102422,470390$20$11.1K
    971121341,820240$20$7.6K
    9921324016,32070$50$7.1K
    958869319060$70$7.1K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cumberland County Hospital System IncNCInternal Medicine Physician$0$8M
    Divyang PatelNCInterventional Cardiology Physician$436.9K$0
    Bradley BroussardNCOrthopaedic Surgery Physician$354.4K$0
    Edwin NewmanNCOrthopaedic Surgery Physician$288.4K$0
    Judit CopeNCPhysical Medicine & Rehabilitation Physician$261.6K$0
    William SchaeferNCOrthopaedic Surgery Physician$240.3K$110
    Michal KozanekMAOrthopaedic Surgery Physician$15.2K$204.5K
    William HuffNCOrthopaedic Surgery Physician$216K$0
    Arvind KumarNCGastroenterology Physician$206.8K$0
    Joseph HendersonNCGastroenterology Physician$167.7K$390

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Touch Of Grace IncNCDevelopmentally Disabled Services Day Training Agency$0$20.1M
    Matrix Occupational Health P.C.NCUrgent Care Clinic/Center$0$14M
    Daniel UbaNCInternal Medicine Physician$326.7K$76.7K
    Sanjiv DalviNCInternal Medicine Physician$235.4K$0
    Sumedha DalviNCInternal Medicine Physician$224.4K$0
    Jason LoweNCSports Medicine (Orthopaedic Surgery) Physician$156K$0
    Donna WienerNCClinical Psychologist$140.3K$0
    Ovie AppresaiNCSurgery Physician$34.7K$0

    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. North Carolina Distribution
    James Flanagan — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina