Physician

James M Wilson, M.D.

According to 2025 Medicare claims, James Wilson, M.D. (NPI: 1184627317) practices rheumatology in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from York, SC. This provider's primary affiliated billing organization is THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA (NPI: 1376505990; TIN: 57-0961870) and primary practice location at 29732-3288.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 612 traditional Medicare patients, billed 115,021 HCPCS/CPT codes, and received $1,512,461 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 5,722 prescription claims across 570 beneficiaries totaling $1,028,369 in drug costs, led by Enbrel (Etanercept). Open Payments data shows 51 records totaling $1,393. 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 lower plateau to a higher plateau, from $665,194 to $1,512,461. Concurrently, Part D prescription costs have changed little. 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.

Year	Patients	Clm Lines	Payment
2015	453	26,213	$665,194
2016	518	29,452	$834,564
2017	621	39,877	$1,062,508
2018	612	39,168	$1,077,674
2019	746	71,626	$1,592,981
2020	728	86,144	$1,701,878
2021	721	125,904	$1,867,217
2022	753	126,003	$1,834,148
2023	706	132,439	$1,734,628
2024	612	115,021	$1,512,461

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	492	6,173	$693,478
2016	514	6,167	$749,568
2017	529	6,510	$977,829
2018	524	6,464	$951,520
2019	530	5,744	$864,360
2020	521	6,014	$864,583
2021	567	5,838	$992,391
2022	566	5,861	$1,011,534
2023	571	5,889	$922,515
2024	570	5,722	$1,028,369

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	479	791	$83
96401	Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	277	433	$48
J0897	Injection, denosumab, 1 mg	273	25,200	$20
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	353	504	$12
86431	Rheumatoid factor level	135	138	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel	Etanercept	12	392	$190,439
Humira(Cf) Pen	Adalimumab	16	448	$124,640
Orencia Clickject	Abatacept	15	644	$123,354
Enbrel Sureclick	Etanercept	13	364	$91,494
Simponi	Golimumab	14	392	$90,778

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$1,393	ABBVIE 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 James M. Wilson, M.D.?

Tedicare shows public-source Medicare data for James M. Wilson, M.D. (NPI 1184627317), 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 M. Wilson, 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 M. Wilson, M.D.?

James M. Wilson, M.D. is linked to THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA (billing NPI 1376505990) in the available physician profile data.

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

James M. Wilson, M.D. has 51 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.