Physician

James Richard Davis, MD

According to 2025 Medicare claims, James Davis, MD (NPI: 1033354741) practices general surgery in the Valdosta, GA market, with the plurality of this provider's patient population coming from Lowndes, GA. This provider's primary affiliated billing organization is SGMC PHYSICIAN NETWORK INC (NPI: 1417597170; TIN: 84-3707279) and primary practice location at 31602-1735. Davis is affiliated with the PRIVIA QUALITY NETWORK - I LLC (ACO ID: A5533), participating under the MSSP model.

Davis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 425 traditional Medicare patients, billed 1,030 HCPCS/CPT codes, and received $159,893 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 876 prescription claims across 298 beneficiaries totaling $10,507 in drug costs, led by Levothyroxine Sodium (Levothyroxine Sodium). DME data shows 60 claims. Open Payments data shows 5 records totaling $130. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $5,713 to $159,893. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,704 to $10,507. For DME billing, reported payments moved sharply higher in recent years, from $2,652 to $6,054.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$89K$177K2017 Medicare payment: $5,713 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $39,699 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $88,296 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $128,993 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $134,735 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $177,000 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $171,961 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $159,893 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20173751$5,713
2018120261$39,699
2019202617$88,296
2020309935$128,993
2021316904$134,735
20224341,063$177,000
20234181,001$171,961
20244251,030$159,893

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$8.1K$16K2015 Drug cost: $1,704 (USD; Tot_Drug_Cst)2016 Drug cost: $1,879 (USD; Tot_Drug_Cst)2017 Drug cost: $1,067 (USD; Tot_Drug_Cst)2018 Drug cost: $3,366 (USD; Tot_Drug_Cst)2019 Drug cost: $2,851 (USD; Tot_Drug_Cst)2020 Drug cost: $4,957 (USD; Tot_Drug_Cst)2021 Drug cost: $5,426 (USD; Tot_Drug_Cst)2022 Drug cost: $14,092 (USD; Tot_Drug_Cst)2023 Drug cost: $16,107 (USD; Tot_Drug_Cst)2024 Drug cost: $10,507 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155089$1,704
201649115$1,879
20174489$1,067
201860135$3,366
201979190$2,851
2020118348$4,957
2021142414$5,426
2022193506$14,092
2023268672$16,107
2024298876$10,507

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.6K$3.3K2022 Medicare payment: $173 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $3,253 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R12$173
2023N/RN/RN/R
2024N/R60$3,253

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more6262$112
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6267$97
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more8696$87
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more7373$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more158208$62

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Levothyroxine SodiumLevothyroxine Sodium28312,305$1,617
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates1118$731
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen143526$700
MethocarbamolMethocarbamol148872$578
Pantoprazole SodiumPantoprazole Sodium502,070$445

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), eachNN/R18$1,530
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R21$1,411
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R21$312

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$130TELA Bio, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for James Richard Davis, MD?

Tedicare shows public-source Medicare data for James Richard Davis, MD (NPI 1033354741), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Richard Davis, MD have ACO affiliation data?

James Richard Davis, MD is shown with ACO affiliation data for PRIVIA QUALITY NETWORK - I LLC (MSSP, ACO ID A5533).

What billing organization is linked to James Richard Davis, MD?

James Richard Davis, MD is linked to SGMC PHYSICIAN NETWORK INC (billing NPI 1417597170) in the available physician profile data.

Does James Richard Davis, MD have Open Payments data?

James Richard Davis, MD has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.