Physician

Gordon W James, MD

According to 2025 Medicare claims, Gordon James, MD (NPI: 1124158431) practices nephrology in the Peoria, IL market, with the plurality of this provider's patient population coming from Tazewell, IL. This provider's primary affiliated billing organization is RENALCARE ASSOCIATES, S.C. (NPI: 1649300377; TIN: 370995483) and primary practice location at 61603-3168. James is affiliated with the IRCCO (ACO ID: A2619), OSF Healthcare System (ACO ID: A3289), and SBL accountable care organization (ACO ID: A5147), participating under the MSSP model.

James' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 862 traditional Medicare patients, billed 2,746 HCPCS/CPT codes, and received $211,975 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 4,997 prescription claims across 612 beneficiaries totaling $329,759 in drug costs, led by Jardiance (Empagliflozin). DME data shows 212 claims. Open Payments data shows 1 records totaling $33. 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 up and down with repeated peaks and valleys, starting at $287,618 and ending at $329,759. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,391 and ending at $1,404.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	863	24,800	$255,860
2016	1,029	26,161	$304,058
2017	1,010	6,251	$254,896
2018	1,038	6,246	$253,706
2019	1,011	4,717	$231,993
2020	955	2,834	$212,653
2021	899	2,389	$241,119
2022	872	2,152	$219,305
2023	893	2,273	$212,106
2024	862	2,746	$211,975

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	392	4,224	$287,618
2016	418	4,553	$409,669
2017	453	4,537	$352,462
2018	448	4,184	$220,421
2019	457	4,168	$204,888
2020	495	4,181	$207,418
2021	528	4,230	$149,894
2022	539	4,339	$174,203
2023	559	4,853	$311,040
2024	612	4,997	$329,759

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	45	568	$62,253
2016	45	522	$58,584
2017	63	597	$55,764
2018	70	619	$55,081
2019	71	767	$63,706
2020	44	572	$36,405
2021	39	389	$21,182
2022	N/R	266	$6,211
2023	N/R	288	$5,672
2024	N/R	212	$3,852

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	84	$124
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	232	$91
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	332	$58
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	808	$52
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	356	602	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	163	5,971	$117,652
Velphoro	Sucroferric Oxyhydroxide	13	750	$47,429
Eliquis	Apixaban	39	1,176	$23,397
Farxiga	Dapagliflozin Propanediol	13	630	$8,668
Potassium Citrate Er	Potassium Citrate	115	6,994	$7,530

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
J7518	Mycophenolic acid, oral, 180 mg	N	N/R	17	$1,376
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	47	$828
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	57	$702
J7507	Tacrolimus, immediate release, oral, 1 mg	N	N/R	40	$507
J7517	Mycophenolate mofetil, oral, 250 mg	N	N/R	36	$423

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$33	Boehringer Ingelheim Pharmaceuticals, Inc.
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 Gordon W. James, MD?

Tedicare shows public-source Medicare data for Gordon W. James, MD (NPI 1124158431), 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 Gordon W. James, MD have ACO affiliation data?

Gordon W. James, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), OSF Healthcare System (MSSP, ACO ID A3289), and SBL accountable care organization (MSSP, ACO ID A5147).

What billing organization is linked to Gordon W. James, MD?

Gordon W. James, MD is linked to RENALCARE ASSOCIATES, S.C. (billing NPI 1649300377) in the available physician profile data.

Does Gordon W. James, MD have Open Payments data?

Gordon W. James, MD has 1 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.