Physician

James Thompson Mcclain, M.D.

According to 2025 Medicare claims, James Mcclain, M.D. (NPI: 1528320918) practices hematology/oncology in the Greenville-Anderson-Greer, SC market, with the plurality of this provider's patient population coming from Anderson, SC. This provider's primary affiliated billing organization is ANDERSON ONCOLOGY-HEMATOLOGY CLINIC PA (NPI: 1316914161; TIN: 570749974) and primary practice location at 29621-1580. Mcclain is affiliated with the Coastal Plains Network, LLC (ACO ID: A2684), participating under the MSSP model.

Mcclain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 460 traditional Medicare patients, billed 311,480 HCPCS/CPT codes, and received $5,974,825 in Medicare payments. The top billing code was 82728 (Ferritin (blood protein) level). Part D data shows 1,672 prescription claims across 330 beneficiaries totaling $5,525,259 in drug costs, led by Tagrisso (Osimertinib Mesylate). DME data shows 11 claims. Open Payments data shows 212 records totaling $5,004. 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 $500,397 to $5,974,825. Similarly, Part D prescription costs have moved sharply higher in recent years, from $90,526 to $5,525,259. 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$3.0M$6.0M2018 Medicare payment: $500,397 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,900,914 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $3,828,242 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $4,169,412 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $4,436,139 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $5,523,104 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $5,974,825 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018347106,944$500,397
2019416339,169$2,900,914
2020391337,701$3,828,242
2021414352,809$4,169,412
2022426311,013$4,436,139
2023443326,882$5,523,104
2024460311,480$5,974,825

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$2.8M$5.5M2015 Drug cost: $90,526 (USD; Tot_Drug_Cst)2016 Drug cost: $109,638 (USD; Tot_Drug_Cst)2017 Drug cost: $127,819 (USD; Tot_Drug_Cst)2018 Drug cost: $384,838 (USD; Tot_Drug_Cst)2019 Drug cost: $1,960,595 (USD; Tot_Drug_Cst)2020 Drug cost: $2,774,017 (USD; Tot_Drug_Cst)2021 Drug cost: $2,953,538 (USD; Tot_Drug_Cst)2022 Drug cost: $3,988,553 (USD; Tot_Drug_Cst)2023 Drug cost: $4,732,688 (USD; Tot_Drug_Cst)2024 Drug cost: $5,525,259 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201578801$90,526
201659135$109,638
201769183$127,819
2018114290$384,838
20191791,083$1,960,595
20201881,033$2,774,017
20212511,494$2,953,538
20222501,334$3,988,553
20232831,447$4,732,688
20243301,672$5,525,259

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$2.9K$5.8K2015 Medicare payment: $261 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,734 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $5,781 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,334 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,019 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $1,797 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R14$261
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R27$4,734
2020N/R64$5,781
2021N/R45$3,334
2022N/R15$1,019
2023N/RN/RN/R
2024N/R11$1,797

* / # = 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
82728Ferritin (blood protein) level316623$13
80053Blood test, comprehensive group of blood chemicals4341,612$10
83550Iron binding capacity318619$8
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4362,015$8
83540Iron level316620$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TagrissoOsimertinib Mesylate511,530$860,635
CalquenceAcalabrutinib Maleate641,920$812,562
BrukinsaZanubrutinib481,440$671,870
AyvakitAvapritinib14420$537,481
IbrancePalbociclib26728$399,803

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
B4152Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitNN/R11$1,797

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.212$5,004Novartis Pharmaceuticals Corporation
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 Thompson Mcclain, M.D.?

Tedicare shows public-source Medicare data for James Thompson Mcclain, M.D. (NPI 1528320918), 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 Thompson Mcclain, M.D. have ACO affiliation data?

James Thompson Mcclain, M.D. is shown with ACO affiliation data for Coastal Plains Network, LLC (MSSP, ACO ID A2684).

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

James Thompson Mcclain, M.D. is linked to ANDERSON ONCOLOGY-HEMATOLOGY CLINIC PA (billing NPI 1316914161) in the available physician profile data.

Does James Thompson Mcclain, M.D. have Open Payments data?

James Thompson Mcclain, M.D. has 212 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.