Medicare Enrolled

Dr. James Barnes, M.D.

Orthopedic Surgery · Santa Monica, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Research-focused
1225 15TH ST STE 2100, Santa Monica, CA 90404
3103191234
In practice since 2012 (14 years)
NPI: 1083980585 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Barnes from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Barnes? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Barnes

Dr. James Barnes is an orthopedic surgery specialist in Santa Monica, CA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Barnes performed 8,489 Medicare services across 1,960 unique beneficiaries.

Between the years covered by Open Payments, Dr. Barnes received a total of $46,718 from 14 pharmaceutical and/or device companies across 53 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as research and scientific activities (grants and research funding). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Barnes is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 14 years in practice ▲ Top 4% volume in CA $46,718 industry payments

Medicare Practice Summary

Medicare Utilization ↗
8,489
Medicare services
Top 4% in CA for orthopedic surgery
1,960
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~606 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hyaluronan joint injection, 1 mg
An injection of hyaluronan or a derivative into a joint space to supplement joint fluid.
5,400 $13 $125
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
773 $1 $6
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
336 $66 $448
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
253 $91 $493
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
223 $115 $825
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
221 $95 $632
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
182 $25 $171
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
181 $33 $229
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
159 $79 $553
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
111 $30 $202
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
109 $35 $232
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
85 $28 $181
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
73 $51 $321
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
63 $25 $161
Knee X-ray, 1-2 views
An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures.
55 $27 $169
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
35 $30 $202
MRI of leg joint, without contrast
A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye.
30 $161 $1,052
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
29 $127 $891
Adult short arm fiberglass cast supplies
Materials used to apply a short arm cast made of fiberglass for patients aged 11 and older.
25 $15 $225
Elbow to finger cast application
Application of a cast extending from the elbow to the fingers to immobilize the arm.
24 $60 $423
MRI of arm joint, without contrast
An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye.
24 $160 $1,054
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
22 $44 $285
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
20 $98 $662
Tendon injection at attachment site
A procedure involving the injection of medication into a tendon where it attaches to bone or muscle.
16 $41 $288
X-ray of both hips, 3-4 views
An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures.
15 $37 $266
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
14 $66 $492
Surgical repair of broken thigh bone with stabilization or replacement
This procedure involves surgically treating the upper part of a fractured femur by inserting a device to stabilize the bone or replacing it with a prosthetic implant.
11 $942 $5,911
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.1% high complexity
77.6% medium
22.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$46,718
Total received (2018-2024)
Avg $7,786/year across 6 years
Top 13% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
53
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Scientific / Research
Research funding and grants
$23,484 (50.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$19,126 (40.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,108 (8.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,599
2023
$544
2022
$8,193
2021
$32,695
2019
$1,543
2018
$2,144

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$1,562
Goode Surgical Inc
$22
Boston Scientific Corporation
$15
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$20,000
Smith+Nephew, Inc.
$15,886
Medical Device Business Services, Inc.
$4,745
Stryker Corporation
$2,254
Goode Surgical Inc
$1,530
ImpactOrtho, Inc.
$1,200
Desert Mountain Medical
$660
DePuy Synthes Sales Inc.
$300
MY01 Inc.
$57
Bioventus LLC
$27
Orthofix Medical, Inc.
$17
Boston Scientific Corporation
$15
Pacira Pharmaceuticals Incorporated
$13
DJO, LLC
$13
Top 3 companies account for 87.0% of all-time payments
Associated products mentioned in payments ›
ATTUNE · AXSOS · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · CMF · Durolane · EXPAREL · GRYPHON · HEALIX · MAKO · MOTIONSENSE DIGITAL GONIOMETER · MY01 Continuous Compartmental Pressure Monitor · Physio-Stim · Q-FIX Shoulder · T2 · TRIATHLON · ViviGen
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (50%) are classified as scientific/research, suggesting involvement in clinical studies, grants, or innovation-related work.

Looking for an orthopedic surgery specialist in Santa Monica?
Compare orthopedic surgeons in the Santa Monica area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
495
Per 100K population
5.0
County median income
$87,760
Nearest hospital
SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Barnes is a mixed practice specialist, with above-average Medicare volume (top 4% in CA), with research-focused industry engagement in the top 13% of CA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Barnes experienced with hyaluronan joint injection, 1 mg?
Based on Medicare claims data, Dr. Barnes performed 5,400 hyaluronan joint injection, 1 mg services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Barnes receive payments from pharmaceutical companies?
Yes. Dr. Barnes received a total of $46,718 from 14 companies across 53 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Barnes's costs compare to other orthopedic surgeons in Santa Monica?
Dr. Barnes's average Medicare payment per service is $27. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Barnes) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →