Physician

Brian Ray James, M.D.

According to 2025 Medicare claims, Brian James, M.D. (NPI: 1932356110) practices family practice in the Decatur, AL market, with the plurality of this provider's patient population coming from Morgan, AL. This provider's primary affiliated billing organization is BRIAN R JAMES MD PC (NPI: 1154613032) and primary practice location at 35601-4340.

James' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 460 traditional Medicare patients, billed 7,871 HCPCS/CPT codes, and received $199,432 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 11,929 prescription claims across 646 beneficiaries totaling $1,198,027 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 177 claims. Open Payments data shows 64 records totaling $1,058. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $567,604 to $1,198,027. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $11,615 and ending at $12,143.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	283	7,130	$202,918
2016	312	7,514	$198,517
2017	283	6,841	$172,598
2018	331	7,628	$193,933
2019	339	6,876	$175,900
2020	538	8,697	$223,920
2021	520	8,722	$261,164
2022	493	8,257	$261,471
2023	467	7,704	$223,767
2024	460	7,871	$199,432

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	265	6,638	$567,604
2016	287	7,028	$565,831
2017	313	7,745	$595,900
2018	371	8,445	$692,929
2019	412	8,852	$654,811
2020	533	10,098	$675,837
2021	574	10,474	$828,247
2022	619	10,598	$925,335
2023	627	10,994	$1,110,062
2024	646	11,929	$1,198,027

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	31	96	$7,273
2016	21	78	$1,849
2017	15	86	$2,786
2018	32	99	$1,891
2019	17	75	$611
2020	28	141	$3,890
2021	20	176	$8,387
2022	31	208	$10,912
2023	18	194	$8,039
2024	13	177	$8,577

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	408	413	$92
84443	Blood test, thyroid stimulating hormone (tsh)	421	607	$16
80061	Blood test, lipids (cholesterol and triglycerides)	434	732	$13
80053	Blood test, comprehensive group of blood chemicals	441	848	$10
81000	Manual urinalysis test with examination using microscope, non-automated	414	526	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	162	5,684	$203,835
Eliquis	Apixaban	123	7,219	$135,017
Ozempic	Semaglutide	52	2,618	$74,532
Xarelto	Rivaroxaban	82	4,074	$72,675
Januvia	Sitagliptin Phosphate	66	3,540	$63,116

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	17	$3,998
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	34	$2,099
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	28	$808
E1392	Portable oxygen concentrator, rental	Y	N/R	22	$675
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	13	35	$456

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	64	$1,058	ABBVIE INC.
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 Brian Ray James, M.D.?

Tedicare shows public-source Medicare data for Brian Ray James, M.D. (NPI 1932356110), 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 Brian Ray James, M.D. have ACO affiliation data?

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

What billing organization is linked to Brian Ray James, M.D.?

Brian Ray James, M.D. is linked to BRIAN R JAMES MD PC (billing NPI 1154613032) in the available physician profile data.

Does Brian Ray James, M.D. have Open Payments data?

Brian Ray James, M.D. has 64 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.