Physician

James L Brazil, MD

According to 2025 Medicare claims, James Brazil, MD (NPI: 1154349421) practices dermatology in the Olympia-Lacey-Tumwater, WA market, with the plurality of this provider's patient population coming from Thurston, WA. This provider's primary affiliated billing organization is OLYMPIC DERMATOLOGY AND LASER CLINIC P S (NPI: 1467470914; TIN: 912022574) and primary practice location at 98506-5132. Brazil is affiliated with the PSW ACO (ACO ID: A5323), participating under the MSSP model.

Brazil's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 898 traditional Medicare patients, billed 4,635 HCPCS/CPT codes, and received $366,480 in Medicare payments. The top billing code was 17110 (Destruction of skin growth, 1-14 growths). Part D data shows 466 prescription claims across 226 beneficiaries totaling $371,600 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 46 records totaling $1,872. 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 declined steadily, from $661,109 to $366,480. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $180,930 and ending at $371,600. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$331K$662K2015 Medicare payment: $661,109 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $496,641 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $656,119 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $661,875 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $624,157 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $619,733 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $595,573 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $471,087 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $435,217 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $366,480 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,93511,423$661,109
20161,8079,863$496,641
20171,89710,773$656,119
20181,80029,509$661,875
20191,6929,550$624,157
20201,2807,214$619,733
20211,2327,105$595,573
20221,0456,004$471,087
20239025,247$435,217
20248984,635$366,480

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$186K$372K2015 Drug cost: $180,930 (USD; Tot_Drug_Cst)2016 Drug cost: $94,584 (USD; Tot_Drug_Cst)2017 Drug cost: $136,768 (USD; Tot_Drug_Cst)2018 Drug cost: $270,750 (USD; Tot_Drug_Cst)2019 Drug cost: $244,470 (USD; Tot_Drug_Cst)2020 Drug cost: $116,345 (USD; Tot_Drug_Cst)2021 Drug cost: $176,662 (USD; Tot_Drug_Cst)2022 Drug cost: $188,499 (USD; Tot_Drug_Cst)2023 Drug cost: $114,743 (USD; Tot_Drug_Cst)2024 Drug cost: $371,600 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015279581$180,930
2016240519$94,584
2017254519$136,768
2018250562$270,750
2019248545$244,470
2020165371$116,345
2021223427$176,662
2022162351$188,499
2023170341$114,743
2024226466$371,600

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
17110Destruction of skin growth, 1-14 growths148171$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more413535$60
17000Destruction of precancer skin growth, 1 growth313405$37
88305Pathology examination of tissue using a microscope, intermediate complexity406537$28
17003Destruction of precancer skin growth, 2-14 growths2491,450$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab14392$100,042
Clobetasol PropionateClobetasol Propionate441,450$1,810
KetoconazoleKetoconazole742,627$1,059
MetronidazoleMetronidazole11405$900
Triamcinolone AcetonideTriamcinolone Acetonide692,214$578

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.46$1,872ABBVIE 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 L. Brazil, MD?

Tedicare shows public-source Medicare data for James L. Brazil, MD (NPI 1154349421), 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 L. Brazil, MD have ACO affiliation data?

James L. Brazil, MD is shown with ACO affiliation data for PSW ACO (MSSP, ACO ID A5323).

What billing organization is linked to James L. Brazil, MD?

James L. Brazil, MD is linked to OLYMPIC DERMATOLOGY AND LASER CLINIC P S (billing NPI 1467470914) in the available physician profile data.

Does James L. Brazil, MD have Open Payments data?

James L. Brazil, MD has 46 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.