Physician

James Clarkson, M.D.

According to 2025 Medicare claims, James Clarkson, M.D. (NPI: 1124275698) practices hand surgery in the Lansing-East Lansing, MI market, with the plurality of this provider's patient population coming from Ingham, MI. This provider's primary affiliated billing organization is JAMES CLARKSON MD PLLC (NPI: 1447079165) and primary practice location at 48912-3707. Clarkson is affiliated with the POM ACO (ACO ID: A1297) and Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Clarkson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 141 traditional Medicare patients, billed 422 HCPCS/CPT codes, and received $52,781 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 18 prescription claims across 18 beneficiaries totaling $107 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2017 DME data shows 13 claims. Open Payments data shows 9 records totaling $829. 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 moved from a higher plateau to a lower plateau, from $83,531 to $52,781. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $98,729 to $107. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $22,915 to $0.

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$47K$94K2015 Medicare payment: $83,531 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $93,624 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $86,706 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $82,286 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $68,035 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $64,427 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $41,388 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $51,257 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $41,834 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $52,781 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151881,095$83,531
20162151,265$93,624
20172581,225$86,706
20182621,050$82,286
2019245911$68,035
2020173761$64,427
2021127403$41,388
2022143472$51,257
2023130428$41,834
2024141422$52,781

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$49K$99K2015 Drug cost: $98,729 (USD; Tot_Drug_Cst)2016 Drug cost: $13,358 (USD; Tot_Drug_Cst)2017 Drug cost: $4,316 (USD; Tot_Drug_Cst)2018 Drug cost: $1,972 (USD; Tot_Drug_Cst)2019 Drug cost: $5,463 (USD; Tot_Drug_Cst)2020 Drug cost: $2,278 (USD; Tot_Drug_Cst)2021 Drug cost: $1,367 (USD; Tot_Drug_Cst)2022 Drug cost: $2,449 (USD; Tot_Drug_Cst)2023 Drug cost: $133 (USD; Tot_Drug_Cst)2024 Drug cost: $107 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155198$98,729
20164878$13,358
20174774$4,316
20184579$1,972
201974137$5,463
202073124$2,278
2021102167$1,367
202293126$2,449
20232935$133
20241818$107

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$2.6K$5.2K2015 Medicare payment: $5,210 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $3,277 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $453 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R13$5,210
2016N/R34$3,277
2017N/R13$453
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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 more3333$115
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4350$93
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more3939$74
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4966$58
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3550$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1241$28

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$829Sonex Health, 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 Clarkson, M.D.?

Tedicare shows public-source Medicare data for James Clarkson, M.D. (NPI 1124275698), 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 Clarkson, M.D. have ACO affiliation data?

James Clarkson, M.D. is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and Mosaic ACO (MSSP, ACO ID A5033).

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

James Clarkson, M.D. is linked to JAMES CLARKSON MD PLLC (billing NPI 1447079165) in the available physician profile data.

Does James Clarkson, M.D. have Open Payments data?

James Clarkson, M.D. has 9 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.