Physician

James Matthew Graham, M.D.

According to 2025 Medicare claims, James Graham, M.D. (NPI: 1437448594) practices dermatology in the Hot Springs, AR market, with the plurality of this provider's patient population coming from Garland, AR. This provider's primary affiliated billing organization is PRIME MEDICAL GROUP PLLC (NPI: 1427605153; TIN: 842703208) and primary practice location at 72015-3732.

Graham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,414 traditional Medicare patients, billed 8,933 HCPCS/CPT codes, and received $518,056 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 1,672 prescription claims across 661 beneficiaries totaling $1,292,465 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 94 records totaling $1,903. 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 risen steadily, from $69,263 to $518,056. Similarly, Part D prescription costs have moved sharply higher in recent years, from $23,242 to $1,292,465. 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$268K$535K2015 Medicare payment: $69,263 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $340,170 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $339,994 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $459,889 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $493,418 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $522,755 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $535,487 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $508,446 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $499,424 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $518,056 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154481,850$69,263
20161,1558,163$340,170
20171,2257,731$339,994
20181,2969,450$459,889
20191,3899,530$493,418
20201,1529,214$522,755
20211,2608,862$535,487
20221,2588,115$508,446
20231,2938,279$499,424
20241,4148,933$518,056

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$646K$1.3M2015 Drug cost: $23,242 (USD; Tot_Drug_Cst)2016 Drug cost: $79,230 (USD; Tot_Drug_Cst)2017 Drug cost: $303,240 (USD; Tot_Drug_Cst)2018 Drug cost: $385,894 (USD; Tot_Drug_Cst)2019 Drug cost: $331,586 (USD; Tot_Drug_Cst)2020 Drug cost: $504,729 (USD; Tot_Drug_Cst)2021 Drug cost: $814,439 (USD; Tot_Drug_Cst)2022 Drug cost: $623,862 (USD; Tot_Drug_Cst)2023 Drug cost: $1,029,376 (USD; Tot_Drug_Cst)2024 Drug cost: $1,292,465 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015127226$23,242
2016378893$79,230
20174551,254$303,240
20184421,279$385,894
20194991,351$331,586
20205201,370$504,729
20215431,524$814,439
20225801,538$623,862
20236461,592$1,029,376
20246611,672$1,292,465

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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more9331,260$54
11102Biopsy of related skin growth, first growth303327$52
88305Pathology examination of tissue using a microscope, intermediate complexity440689$46
17000Destruction of precancer skin growth, 1 growth545730$32
17003Destruction of precancer skin growth, 2-14 growths4323,028$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab23644$290,241
Skyrizi PenRisankizumab-Rzaa12896$263,154
Taltz AutoinjectorIxekizumab26728$170,325
Cosentyx Unoready PenSecukinumab15420$134,251
Dupixent PenDupilumab24644$89,200

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.94$1,903Lilly USA, LLC
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 Matthew Graham, M.D.?

Tedicare shows public-source Medicare data for James Matthew Graham, M.D. (NPI 1437448594), 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 Matthew Graham, 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 Matthew Graham, M.D.?

James Matthew Graham, M.D. is linked to PRIME MEDICAL GROUP PLLC (billing NPI 1427605153) in the available physician profile data.

Does James Matthew Graham, M.D. have Open Payments data?

James Matthew Graham, M.D. has 94 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.