Physician

James Stephen Maddox, MD

According to 2025 Medicare claims, James Maddox, MD (NPI: 1720188196) practices dermatology in the Montgomery, AL market, with the plurality of this provider's patient population coming from Montgomery, AL. This provider's primary affiliated billing organization is ADVANCED DERMATOLOGY OF ALABAMA, INC. (NPI: 1538773775; TIN: 812056909) and primary practice location at 36117-3548. Maddox is affiliated with the Rancho Health Management, LLC (ACO ID: D0015), participating under the REACH model.

Maddox's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,061 traditional Medicare patients, billed 5,202 HCPCS/CPT codes, and received $184,042 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 2,193 prescription claims across 841 beneficiaries totaling $279,032 in drug costs, led by Otezla (Apremilast). Open Payments data shows 11 records totaling $253. 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 $482,367 to $184,042. In contrast, Part D prescription costs have risen steadily, from $261,652 to $279,032. 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$241K$482K2015 Medicare payment: $482,367 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $474,711 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $326,689 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $323,431 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $336,771 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $223,730 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $334,684 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $296,843 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $270,047 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $184,042 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153,02716,552$482,367
20163,02015,277$474,711
20172,04111,036$326,689
20182,26511,078$323,431
20192,28911,496$336,771
20201,8538,087$223,730
20211,7509,060$334,684
20221,6487,955$296,843
20231,5277,694$270,047
20241,0615,202$184,042

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$178K$355K2015 Drug cost: $261,652 (USD; Tot_Drug_Cst)2016 Drug cost: $187,280 (USD; Tot_Drug_Cst)2017 Drug cost: $216,498 (USD; Tot_Drug_Cst)2018 Drug cost: $200,867 (USD; Tot_Drug_Cst)2019 Drug cost: $272,269 (USD; Tot_Drug_Cst)2020 Drug cost: $302,373 (USD; Tot_Drug_Cst)2021 Drug cost: $307,190 (USD; Tot_Drug_Cst)2022 Drug cost: $336,021 (USD; Tot_Drug_Cst)2023 Drug cost: $355,088 (USD; Tot_Drug_Cst)2024 Drug cost: $279,032 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20158522,313$261,652
20168582,161$187,280
20179002,347$216,498
20188912,295$200,867
20199172,473$272,269
20209512,500$302,373
20211,0382,862$307,190
20221,0342,766$336,021
20231,0052,705$355,088
20248412,193$279,032

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more232271$79
11102Biopsy of related skin growth, first growth450556$62
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more9151,181$55
17000Destruction of precancer skin growth, 1 growth492647$32
17003Destruction of precancer skin growth, 2-14 growths3621,935$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OtezlaApremilast30986$123,108
FluorouracilFluorouracil2265,913$16,777
KetoconazoleKetoconazole59715,455$14,353
Clobetasol PropionateClobetasol Propionate1554,240$12,903
MetronidazoleMetronidazole1154,120$11,294

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.11$253Arcutis Biotherapeutics, 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 Stephen Maddox, MD?

Tedicare shows public-source Medicare data for James Stephen Maddox, MD (NPI 1720188196), 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 Stephen Maddox, MD have ACO affiliation data?

James Stephen Maddox, MD is shown with ACO affiliation data for Rancho Health Management, LLC (REACH, ACO ID D0015).

What billing organization is linked to James Stephen Maddox, MD?

James Stephen Maddox, MD is linked to ADVANCED DERMATOLOGY OF ALABAMA, INC. (billing NPI 1538773775) in the available physician profile data.

Does James Stephen Maddox, MD have Open Payments data?

James Stephen Maddox, MD has 11 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.