Physician

James T Maddux, MD

According to 2025 Medicare claims, James Maddux, MD (NPI: 1942237326) practices cardiology in the Missoula, MT market, with the plurality of this provider's patient population coming from Missoula, MT. This provider's primary affiliated billing organization is PROVIDENCE HEALTH & SERVICES MT (NPI: 1427096585; TIN: 810231793) and primary practice location at 59802-4096. Maddux is affiliated with the Health Connect Partners, LLC (ACO ID: A2342), Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), MountainStar Care Partners ACO (ACO ID: A5181), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Maddux's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,086 traditional Medicare patients, billed 2,162 HCPCS/CPT codes, and received $238,653 in Medicare payments. The top billing code was 93458 (Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist). Part D data shows 2,065 prescription claims across 361 beneficiaries totaling $340,568 in drug costs, led by Camzyos (Mavacamten). 2021 DME data shows 22 claims. Open Payments data shows 49 records totaling $44,583. 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 did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $24,607 to $1,266.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	937	1,883	$250,322
2016	918	1,818	$258,134
2017	958	2,304	$303,875
2018	1,067	2,420	$285,266
2019	1,294	2,672	$324,246
2020	1,257	2,409	$225,363
2021	1,114	2,472	$274,230
2022	1,362	2,673	$257,656
2023	1,333	2,658	$251,617
2024	1,086	2,162	$238,653

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	474	3,275	$172,262
2016	433	2,791	$162,966
2017	482	2,862	$142,862
2018	503	2,945	$166,741
2019	466	2,427	$145,596
2020	409	2,040	$113,940
2021	417	2,246	$171,289
2022	389	2,090	$175,433
2023	382	2,155	$210,695
2024	361	2,065	$340,568

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	$23,010
2016	N/R	N/R	N/R
2017	N/R	28	$975
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	22	$1,105
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
93458	Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	143	147	$183
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	254	$84
93280	Programming of dual lead pacemaker system	98	136	$54
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	272	300	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	365	423	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Camzyos	Mavacamten	16	480	$124,021
Eliquis	Apixaban	100	5,467	$102,639
Repatha Sureclick	Evolocumab	43	2,548	$48,957
Xarelto	Rivaroxaban	12	1,080	$18,443
Atorvastatin Calcium	Atorvastatin Calcium	281	23,879	$3,645

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	35	$8,587	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	14	$35,996	St Patrick Hospital
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 James T. Maddux, MD?

Tedicare shows public-source Medicare data for James T. Maddux, MD (NPI 1942237326), 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 T. Maddux, MD have ACO affiliation data?

James T. Maddux, MD is shown with ACO affiliation data for Health Connect Partners, LLC (MSSP, ACO ID A2342), Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), MountainStar Care Partners ACO (MSSP, ACO ID A5181), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to James T. Maddux, MD?

James T. Maddux, MD is linked to PROVIDENCE HEALTH & SERVICES MT (billing NPI 1427096585) in the available physician profile data.

Does James T. Maddux, MD have Open Payments data?

James T. Maddux, MD has 49 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.