Physician

James Michael Calmes, MD, MBA

According to 2025 Medicare claims, James Calmes, MD, MBA (NPI: 1750363057) practices rheumatology in the Lubbock, TX market, with the plurality of this provider's patient population coming from Lubbock, TX. This provider's primary affiliated billing organization is ARTHRITIS & OSTEOPOROSIS ASSOCIATES, LLP (NPI: 1952354300; TIN: 752948739) and primary practice location at 79424-2862. Calmes is affiliated with the Covenant ACO, Inc. (ACO ID: A2021) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Calmes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 496 traditional Medicare patients, billed 78,199 HCPCS/CPT codes, and received $1,157,909 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 3,993 prescription claims across 566 beneficiaries totaling $2,888,706 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2019 DME data shows 12 claims. Open Payments data shows 70 records totaling $1,016. 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 $628,321 to $1,157,909. Similarly, Part D prescription costs have risen steadily, from $1,427,918 to $2,888,706. 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$579K$1.2M2015 Medicare payment: $628,321 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $856,515 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $970,458 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $874,615 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $869,857 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $782,154 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $837,007 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $905,622 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,057,177 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,157,909 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201566762,823$628,321
201664273,194$856,515
201763883,103$970,458
201860859,418$874,615
201961059,877$869,857
202055357,286$782,154
202157157,259$837,007
202252371,362$905,622
202353779,386$1,057,177
202449678,199$1,157,909

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$1.6M$3.1M2015 Drug cost: $1,427,918 (USD; Tot_Drug_Cst)2016 Drug cost: $1,633,433 (USD; Tot_Drug_Cst)2017 Drug cost: $1,877,208 (USD; Tot_Drug_Cst)2018 Drug cost: $1,886,889 (USD; Tot_Drug_Cst)2019 Drug cost: $2,350,988 (USD; Tot_Drug_Cst)2020 Drug cost: $2,434,394 (USD; Tot_Drug_Cst)2021 Drug cost: $2,342,806 (USD; Tot_Drug_Cst)2022 Drug cost: $2,638,251 (USD; Tot_Drug_Cst)2023 Drug cost: $3,120,481 (USD; Tot_Drug_Cst)2024 Drug cost: $2,888,706 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155696,152$1,427,918
20165876,185$1,633,433
20175926,083$1,877,208
20185935,891$1,886,889
20195985,855$2,350,988
20205615,501$2,434,394
20215514,758$2,342,806
20225914,166$2,638,251
20235944,412$3,120,481
20245663,993$2,888,706

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$279$5582019 Medicare payment: $558 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R12$558
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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 more324404$58
80053Blood test, comprehensive group of blood chemicals219315$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count258394$7
36415Insertion of needle into vein for collection of blood sample301463$7
85651Red blood cell sedimentation rate, to detect inflammation, non-automated193257$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab973,034$884,825
Enbrel SureclickEtanercept762,828$741,652
RinvoqUpadacitinib431,290$268,606
Cosentyx Sensoready PenSecukinumab26728$204,664
XeljanzTofacitinib Citrate19840$134,289

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.70$1,016Amgen 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 Michael Calmes, MD, MBA?

Tedicare shows public-source Medicare data for James Michael Calmes, MD, MBA (NPI 1750363057), 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 Michael Calmes, MD, MBA have ACO affiliation data?

James Michael Calmes, MD, MBA is shown with ACO affiliation data for Covenant ACO, Inc. (MSSP, ACO ID A2021) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to James Michael Calmes, MD, MBA?

James Michael Calmes, MD, MBA is linked to ARTHRITIS & OSTEOPOROSIS ASSOCIATES, LLP (billing NPI 1952354300) in the available physician profile data.

Does James Michael Calmes, MD, MBA have Open Payments data?

James Michael Calmes, MD, MBA has 70 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.