Medicare Enrolled
Dr. James Billys, MD
Orthopedic Surgery · Odessa, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Billys 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 →
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What this data tells you about Dr. Billys
Dr. James Billys is an orthopedic surgery specialist in Odessa, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Billys performed 670 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Billys received a total of $1,869,218 from 40 pharmaceutical and/or device companies across 348 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Billys 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.
✓ 20 years of NPI registration
▲ 670 Medicare services
$1,869,218 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗670
Medicare services
Bottom 32% in FL for orthopedic surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$235
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| 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. |
150 | $94 | $750 |
| 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. |
111 | $130 | $1,095 |
| 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. |
39 | $63 | $450 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
38 | $176 | $4,184 |
| Injection, methylprednisolone acetate, 40 mg | 36 | $6 | $52 |
| Additional spine bone and disc removal This procedure involves the incision or removal of an additional segment of spine bone along with the removal of the associated disc. |
34 | $286 | $3,732 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
34 | $205 | $4,823 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
29 | $320 | $4,228 |
| Spinal cord or nerve release, single segment A surgical procedure to free the spinal cord or nerves at one specific level of the spine. |
28 | $271 | $4,839 |
| New patient office visit, complex (60-74 min) | 26 | $159 | $1,573 |
| 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. |
22 | $101 | $1,153 |
| Release of lower spinal cord or nerves, single segment A surgical procedure to free the lower spinal cord or nerves from surrounding tissue at a single spinal level. |
20 | $705 | $17,925 |
| Anterior lumbar interbody fusion with partial disc removal A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc. |
17 | $546 | $19,324 |
| Lower spine bone and disc removal A surgical procedure involving the incision or removal of a segment of bone from the lower spine along with the removal of a spinal disc. |
16 | $1,000 | $16,701 |
| Aspiration of bone marrow for spine bone graft | 15 | $59 | $702 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
15 | $611 | $7,511 |
| Fusion of spine in lower back | 14 | $1,105 | $21,000 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
14 | $608 | $8,353 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
12 | $499 | $15,375 |
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. These counts do not measure clinical quality or years of experience.
14.0% high complexity
5.4% medium
80.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,869,218
Total received (2018-2024)
Avg $267,031/year across 7 years
Top 1% in FL for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
348
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$299,012
2023
$319,588
2022
$274,614
2021
$175,431
2020
$205,975
2019
$232,219
2018
$362,378
Payments by company (2024)
Globus Medical, Inc.
$298,143
Alphatec Spine, Inc
$376
SI-BONE, INC.
$168
Coastal Medical Technologies Llc
$162
Baxter Healthcare
$93
Medtronic, Inc.
$44
Bioventus LLC
$27
Top 3 companies account for 99.9% of 2024 payments
All-time payments by company (2018-2024) ›
NuVasive, Inc.
$1,321,778
Globus Medical, Inc.
$298,174
Alphatec Spine, Inc
$104,441
Medtronic USA, Inc.
$37,670
Republic Spine, LLC
$37,318
Providence Medical Technology, Inc.
$23,347
Integrity Implants Inc
$17,300
Centinel Spine, LLC
$6,987
Integrity Implants Inc.
$5,502
Baxter Healthcare
$4,781
Osseus Fusion Systems, LLC
$3,231
SeaSpine Orthopedics Corporation
$2,990
SEASPINE ORTHOPEDICS CORPORATION
$886
Kuros Biosciences USA, Inc
$749
SI-BONE, INC.
$603
Arthrex, Inc.
$367
MML US, Inc.
$298
SpineSmith Holdings, LLC
$260
Stryker Corporation
$214
Intrinsic Therapeutics
$208
OsteoCentric Technologies, Inc.
$195
Bioventus LLC
$195
PROVIDENCE MEDICAL TECHNOLOGY, INC.
$194
Medtronic, Inc.
$191
SI-BONE, Inc.
$169
Coastal Medical Technologies Llc
$162
Orthofix Medical, Inc.
$158
Medical Device Business Services, Inc.
$120
SpineGuard, Inc.
$120
Abbott Laboratories
$119
Terumo BCT, Inc.
$107
Horizon Pharma plc
$87
7D Surgical ULC
$65
Biocomposites Inc
$62
Smith+Nephew, Inc.
$42
MVP Orthopedics Inc
$37
Misonix Inc
$31
Boston Scientific Corporation
$28
PARADIGM SPINE, LLC
$19
Augmedics Inc.
$14
Top 3 companies account for 92.3% of all-time payments
Associated products mentioned in payments ›
7D Surgical System · ACTIFUSE · ALIF · ARSENAL · AttraX · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · BATALLION LATERAL · BATTALION LATERAL · BATTALION LLIF · BONESCALPEL & SONICONE (O.R.) · Battalion LLIF · Bioinductive Implant with Arthroscopic Delivery System - Medium · Bone Marrow Aspirate Concentrate System · BoneScalpel · Bonescalpel · CAPSTONE · CAVUX Cervical Cage · CD HORIZON · CD HORIZON SPINAL SYSTEM · CLYDESDALE · DERMABOND Portfolio · DIVERGENCE-L · ELSA · EVEREST SPINAL SYSTEM · Excelsius Deformity · FIXATE · FLOSEAL · FUSE · FlareHawk · IFUSE IMPLANT · ILLICO · IVS - NEEDLES - OTHER · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LIF · LLIF · LineSider · MaXcess · MagnetOs · Mariner MIS · MazorX - Renaissance · Modulus · NO_PRODUCT · No Related Product · NorthStar · O-ARM-Spine · OSTEOCOOL RF ABLATION · OZARK CERVICAL PLATE SYSTEM · OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST · Other - MIS · Other - Miscellaneous · PASS LP · PENNSAID · PIVOX Oblique Lateral Spinal System · PRODISC C · PRODISC L · PediGuard · Precept · Proclaim Family of SCS IPGs · Pulse · REUNION · RISE-L · ReActiv8 · SightLine · Simplify Cervical Artificial Disc · Spinal-Stim Osteogenesis Stimulator · Stimulan · TLIF · WaveWriter Alpha Prime 16 · XLIF · Xvision · coflex · iFuse Implant
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Orthopedic surgeons in nearby ZIP areas
185
County median income
$75,011
Nearest hospital to ZIP centroid (approximate)
HCA FLORIDA TRINITY HOSPITAL
3.9 mi
3.9 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Billys is a clinical cardiology specialist, with moderate Medicare volume, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Billys experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Billys performed 150 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Billys receive payments from pharmaceutical companies?
Yes. Dr. Billys received a total of $1,869,218 from 40 companies across 348 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Billys's costs compare to other orthopedic surgeons in Odessa?
Dr. Billys's average Medicare payment per service is $235. 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. Billys) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.
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