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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. James Joye
❤️
DOIndividual

James Joye, D.O.

NPI: 1396751889
Mountain View, CA
10 years of data
Cardiology
$34.7M
Total Payments
398
Beneficiaries
144.1K
Services
5.07x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$34.7M
Specialty median$193.1K
Rank #6 of 6 in specialty

📋 Key Findings

1Billed $34.7M over 10 years
25.07x markup ratio (above median)
399th percentile in Cardiology by payments
458 services/day — unusually high
5Payments surged 392% in 2015
610 procedures with >3x markup

This provider averages 58 services per working day

Based on 144.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $34.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Their average markup ratio of 5.07x is significantly above the specialty median of 3.6x.

Averaging 58 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 1277% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 392% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.5K$113.4912.98x$1.4K$326.4K2.9K31
2015$1.1K$150.307.32x$949.48$1.6M10.7K24
2016$1.5K$196.477.55x$1.3K$3.4M17.2K30
2017$1.5K$226.516.58x$1.3K$4.2M18.6K30
2018$1.2K$168.787.05x$1.0K$2.3M13.8K29
2019$1.4K$196.056.96x$1.2K$3.3M17.1K46
2020$1.4K$254.485.38x$1.1K$4.7M18.3K54
2021$944.80$281.003.36x$663.80$4.5M16.2K48
2022$902.86$338.072.67x$564.79$5.8M17.1K54
2023$899.88$366.742.45x$533.14$4.5M12.3K52

Top Procedures (20)

37226Insertion of stent in arteries of leg⚠ 5.2x markup
$7.8M
1.2K services$6.5K/svc5.16x markup
37225Removal of plaque in arteries of leg⚠ 4.6x markup
$4.1M
395 services$10.3K/svc4.61x markup
37227Removal of plaque and insertion of stents in arteries of leg⚠ 4.8x markup
$4.0M
322 services$12.5K/svc4.79x markup
37230Insertion of stent in artery of leg, initial vessel⚠ 5.4x markup
$3.8M
559 services$6.8K/svc5.44x markup
37229Removal of plaque in artery of leg, initial vessel⚠ 5.5x markup
$1.8M
192 services$9.2K/svc5.49x markup
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance
$1.6M
867 services$1.8K/svc2.18x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$1.3M
13.0K services$102.92/svc1.89x markup
37228Balloon dilation of artery of leg, initial vessel⚠ 8.0x markup
$1.2M
364 services$3.3K/svc8.02x markup
37221Insertion of stent in groin artery, initial vessel⚠ 10.7x markup
$1.1M
425 services$2.5K/svc10.66x markup
93925Ultrasound of leg arteries or artery grafts
$1.1M
4.4K services$241.11/svc2.14x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$669.6K
9.7K services$69.01/svc1.96x markup
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
$617.3K
4.3K services$144.91/svc2.72x markup
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance⚠ 3.8x markup
$531.4K
423 services$1.3K/svc3.76x markup
37224Balloon dilation of artery of leg⚠ 7.8x markup
$508.5K
193 services$2.6K/svc7.81x markup
93970Ultrasound study of arm or leg veins with compression and maneuvers
$491.4K
3.0K services$162.60/svc2.34x markup
93880Ultrasound of both sides of head and neck blood flow
$324.1K
2.0K services$164.76/svc2.54x markup
37236Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery⚠ 10.5x markup
$287.8K
115 services$2.5K/svc10.50x markup
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
$281.9K
2.3K services$120.52/svc2.92x markup
99204New patient office or other outpatient visit, 45-59 minutes
$274.8K
2.0K services$140.69/svc2.03x markup
93971Ultrasound study of one arm or leg veins with compression and maneuvers
$251.5K
2.4K services$103.20/svc2.53x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37226Insertion of stent in arteries of leg1.2K$7.8M$6.5K5.16x
37225Removal of plaque in arteries of leg395$4.1M$10.3K4.61x
37227Removal of plaque and insertion of stents in arteries of leg322$4.0M$12.5K4.79x
37230Insertion of stent in artery of leg, initial vessel559$3.8M$6.8K5.44x
37229Removal of plaque in artery of leg, initial vessel192$1.8M$9.2K5.49x
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance867$1.6M$1.8K2.18x
99214Established patient office or other outpatient visit, 30-39 minutes13.0K$1.3M$102.921.89x
37228Balloon dilation of artery of leg, initial vessel364$1.2M$3.3K8.02x
37221Insertion of stent in groin artery, initial vessel425$1.1M$2.5K10.66x
93925Ultrasound of leg arteries or artery grafts4.4K$1.1M$241.112.14x
99213Established patient office or other outpatient visit, 20-29 minutes9.7K$669.6K$69.011.96x
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts4.3K$617.3K$144.912.72x
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance423$531.4K$1.3K3.76x
37224Balloon dilation of artery of leg193$508.5K$2.6K7.81x
93970Ultrasound study of arm or leg veins with compression and maneuvers3.0K$491.4K$162.602.34x
93880Ultrasound of both sides of head and neck blood flow2.0K$324.1K$164.762.54x
37236Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery115$287.8K$2.5K10.50x
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function2.3K$281.9K$120.522.92x
99204New patient office or other outpatient visit, 45-59 minutes2.0K$274.8K$140.692.03x
93971Ultrasound study of one arm or leg veins with compression and maneuvers2.4K$251.5K$103.202.53x

Markup Analysis

Charge-to-Payment Ratio

5.07x

This provider submits charges 5.07 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.07x means for every $100 Medicare pays, this provider initially charges $507. This is higher than the national average.

Location

Mountain View, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

James Joye (you)
$34.7M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, CA$38.1M✓ Clear
Mehran Khorsandi, M.D.,Los Angeles, CA$36.4M✓ Clear
Shashi Sharma, D.M.Visalia, CA$35.4M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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