Physician

James J Patterson, M.D

According to 2025 Medicare claims, James Patterson, M.D (NPI: 1093795734) practices orthopedic surgery in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is ORTHOPAEDIC INSTITUTE OF OHIO, INC (NPI: 1902886492; TIN: 31-1562435) and primary practice location at 45804-4030.

Patterson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 827 traditional Medicare patients, billed 4,029 HCPCS/CPT codes, and received $331,353 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 1,519 prescription claims across 525 beneficiaries totaling $17,203 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 49 claims. Open Payments data shows 3 records totaling $258. 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 changed little. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $34,826 to $17,203. In contrast, DME billing represents a smaller volume and declined steadily, from $8,055 to $1,992.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	778	5,207	$274,309
2016	889	4,242	$322,709
2017	906	4,451	$333,456
2018	880	3,550	$363,777
2019	888	4,710	$361,091
2020	770	2,876	$306,803
2021	835	2,883	$370,970
2022	848	3,722	$331,396
2023	838	4,340	$324,578
2024	827	4,029	$331,353

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	347	1,050	$34,826
2016	364	953	$35,937
2017	378	1,085	$35,659
2018	380	1,026	$42,214
2019	397	941	$18,825
2020	374	935	$14,145
2021	426	1,008	$16,284
2022	456	1,197	$16,442
2023	513	1,448	$21,571
2024	525	1,519	$17,203

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	45	46	$4,450
2016	45	47	$5,204
2017	33	46	$3,530
2018	48	66	$4,203
2019	48	49	$4,533
2020	54	54	$4,590
2021	43	43	$4,342
2022	71	71	$6,960
2023	45	45	$4,735
2024	49	49	$4,787

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	179	196	$61
20610	Aspiration and/or injection of fluid from large joint	193	237	$43
73502	X-ray of hip, 2-3 views	263	435	$31
73562	X-ray of knee, 3 views	444	742	$25
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	156	1,022	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	459	3,214	$5,340
Xarelto	Rivaroxaban	21	279	$5,013
Celecoxib	Celecoxib	61	2,425	$2,452
Meloxicam	Meloxicam	363	14,817	$1,236
Cephalexin	Cephalexin	214	542	$762

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	28	28	$3,690
E0135	Walker, folding (pickup), adjustable or fixed height	N	21	21	$1,097

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$258	Stryker Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James J. Patterson, M.D?

Tedicare shows public-source Medicare data for James J. Patterson, M.D (NPI 1093795734), 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 J. Patterson, M.D have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James J. Patterson, M.D?

James J. Patterson, M.D is linked to ORTHOPAEDIC INSTITUTE OF OHIO, INC (billing NPI 1902886492) in the available physician profile data.

Does James J. Patterson, M.D have Open Payments data?

James J. Patterson, M.D has 3 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.