Physician

Jennifer Iris James, MD

According to 2025 Medicare claims, Jennifer James, MD (NPI: 1801156609) practices family practice in the Lawton, OK market, with the plurality of this provider's patient population coming from Comanche, OK. This provider's primary affiliated billing organization is SOUTHWESTERN SURGICAL AFFILIATES, LLC (NPI: 1013169531; TIN: 263311227) and primary practice location at 73505-9651.

James' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 523 traditional Medicare patients, billed 3,134 HCPCS/CPT codes, and received $126,331 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 10,710 prescription claims across 667 beneficiaries totaling $1,064,780 in drug costs, led by Ozempic (Semaglutide). DME data shows 782 claims. Open Payments data shows 12 records totaling $260. 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 have moved sharply higher in recent years, from $82,624 to $1,064,780. For DME billing, reported payments rose steadily, from $2,692 to $73,367.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	78	323	$17,673
2016	280	1,777	$87,138
2017	376	3,009	$121,115
2018	445	2,783	$134,180
2019	446	2,468	$124,561
2020	557	2,181	$96,568
2021	504	2,147	$112,593
2022	490	2,106	$114,855
2023	499	2,504	$132,209
2024	523	3,134	$126,331

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	111	1,001	$82,624
2016	188	1,962	$180,985
2017	252	3,637	$333,224
2018	319	4,818	$408,788
2019	347	5,694	$467,697
2020	452	6,191	$492,559
2021	474	6,793	$509,411
2022	534	8,007	$668,256
2023	634	9,208	$979,214
2024	667	10,710	$1,064,780

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	11	$188
2016	36	88	$1,832
2017	46	243	$3,619
2018	54	324	$5,694
2019	64	605	$23,661
2020	80	545	$30,346
2021	103	498	$21,208
2022	64	441	$20,686
2023	48	424	$22,823
2024	137	782	$52,135

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	64	64	$130
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	544	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	262	404	$56
99457	Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	46	175	$35
99454	Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	48	325	$33

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	122	4,888	$148,071
Eliquis	Apixaban	106	5,289	$99,048
Trulicity	Dulaglutide	65	2,168	$72,967
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	79	3,390	$70,919
Farxiga	Dapagliflozin Propanediol	67	3,630	$63,980

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	37	$13,227
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	15	$11,391
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	12	103	$8,065
K0823	Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds	Y	N/R	34	$4,625
A7030	Full face mask used with positive airway pressure device, each	N	12	29	$2,430

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$260	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
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 Jennifer Iris James, MD?

Tedicare shows public-source Medicare data for Jennifer Iris James, MD (NPI 1801156609), 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 Jennifer Iris James, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Jennifer Iris James, MD?

Jennifer Iris James, MD is linked to SOUTHWESTERN SURGICAL AFFILIATES, LLC (billing NPI 1013169531) in the available physician profile data.

Does Jennifer Iris James, MD have Open Payments data?

Jennifer Iris James, MD has 12 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.