Physician

James M. Frix, MD

According to 2025 Medicare claims, James Frix, MD (NPI: 1396838363) practices orthopedic surgery in the Dalton, GA market, with the plurality of this provider's patient population coming from Whitfield, GA. This provider's primary affiliated billing organization is ASSOCIATES IN ORTHOPEDICS & SPORTS MEDICINE PC (NPI: 1871655167; TIN: 581388690) and primary practice location at 30720-2588.

Frix's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 424 traditional Medicare patients, billed 2,075 HCPCS/CPT codes, and received $191,936 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 1,117 prescription claims across 425 beneficiaries totaling $226,271 in drug costs, led by Prolia (Denosumab). DME data shows 68 claims. Open Payments data shows 10 records totaling $407. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $11,400 to $13,378.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	639	4,735	$239,744
2016	598	4,020	$206,658
2017	595	4,145	$249,822
2018	701	6,936	$313,648
2019	571	3,788	$283,444
2020	488	3,032	$224,143
2021	478	2,894	$235,593
2022	469	2,664	$218,325
2023	439	2,296	$201,897
2024	424	2,075	$191,936

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	302	759	$244,653
2016	284	676	$283,932
2017	317	825	$441,808
2018	321	884	$699,482
2019	353	908	$728,568
2020	407	1,009	$540,765
2021	395	1,060	$411,614
2022	418	1,105	$345,208
2023	479	1,272	$421,546
2024	425	1,117	$226,271

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	31	77	$7,697
2016	35	46	$6,100
2017	29	42	$1,380
2018	34	34	$2,476
2019	51	70	$4,228
2020	31	43	$2,518
2021	35	35	$2,783
2022	37	48	$3,454
2023	63	75	$12,771
2024	68	68	$16,523

* / # = 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	111	126	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	231	339	$60
20610	Aspiration and/or injection of fluid from large joint	125	168	$46
73030	X-ray of shoulder, minimum of 2 views	81	108	$22
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	128	355	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolia	Denosumab	60	10,800	$102,694
Teriparatide	Teriparatide	22	616	$51,190
Celecoxib	Celecoxib	124	4,770	$3,420
Diclofenac Sodium	Diclofenac Sodium	94	3,054	$1,243
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	63	476	$488

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
E0935	Continuous passive motion exercise device for use on knee only	Y	32	32	$13,333
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	23	23	$2,633
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	13	13	$556

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$407	Team 1, Llc
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. Frix, MD?

Tedicare shows public-source Medicare data for James M. Frix, MD (NPI 1396838363), 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. Frix, MD 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. Frix, MD?

James M. Frix, MD is linked to ASSOCIATES IN ORTHOPEDICS & SPORTS MEDICINE PC (billing NPI 1871655167) in the available physician profile data.

Does James M. Frix, MD have Open Payments data?

James M. Frix, MD has 10 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.