Physician

Lee Michael James, DO

According to 2025 Medicare claims, Lee James, DO (NPI: 1760776876) practices interventional pain management (ipm) in the Punta Gorda, FL market, with the plurality of this provider's patient population coming from Charlotte, FL. This provider's primary affiliated billing organization is ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA (NPI: 1639177579; TIN: 592050967) and primary practice location at 33948-1018. James is affiliated with the IRCCO (ACO ID: A2619), participating under the MSSP model.

James' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,152 traditional Medicare patients, billed 15,566 HCPCS/CPT codes, and received $758,415 in Medicare payments. The top billing code was 27096 (Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance). Part D data shows 1,729 prescription claims across 563 beneficiaries totaling $17,590 in drug costs, led by Gabapentin (Gabapentin). DME data shows 14 claims. Open Payments data shows 32 records totaling $20,446. 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 started with an early spike, then settled into a lower baseline, moving from $29,336 to $17,590. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	425	6,781	$376,146
2017	1,121	16,543	$1,006,334
2018	1,286	16,258	$1,108,988
2019	1,289	18,191	$1,100,520
2020	1,331	18,389	$970,386
2021	1,282	16,584	$829,560
2022	1,253	15,991	$854,176
2023	1,293	17,267	$784,789
2024	1,152	15,566	$758,415

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	84	296	$29,336
2016	348	963	$78,355
2017	522	1,364	$33,170
2018	429	987	$18,516
2019	405	1,057	$16,681
2020	445	1,104	$12,978
2021	439	1,053	$10,384
2022	501	1,275	$11,731
2023	555	1,552	$18,531
2024	563	1,729	$17,590

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	14	14	$3,313

* / # = 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
27096	Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	387	609	$148
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	392	559	$63
20610	Aspiration and/or injection of fluid from large joint	291	450	$45
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	253	1,292	$5
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	690	7,248	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	450	16,923	$5,350
Tramadol Hcl	Tramadol Hcl	671	12,312	$3,212
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	123	995	$1,266
Pregabalin	Pregabalin	53	1,590	$896
Tizanidine Hcl	Tizanidine Hcl	112	3,189	$674

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
L0642	Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	N	14	14	$3,313

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	26	$646	Boston Scientific Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	6	$19,800	Foundation Fusion Solutions, LLC
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 Lee Michael James, DO?

Tedicare shows public-source Medicare data for Lee Michael James, DO (NPI 1760776876), 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 Lee Michael James, DO have ACO affiliation data?

Lee Michael James, DO is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619).

What billing organization is linked to Lee Michael James, DO?

Lee Michael James, DO is linked to ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA (billing NPI 1639177579) in the available physician profile data.

Does Lee Michael James, DO have Open Payments data?

Lee Michael James, DO has 32 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.