Medicare Enrolled
Dr. James Billys, MD
Orthopedic Surgery · Odessa, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed engagement
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 across 461 unique beneficiaries.
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 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 financial or ownership interests (royalties, licensing fees, or investment interests). 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ 670 Medicare services
$1,869,218 industry payments
Medicare Practice Summary
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.
461
Unique beneficiaries
$235
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~34 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 |
|---|---|---|---|
| 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. A higher procedure volume generally indicates more experience with that procedure.
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
40
Companies
348
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$1,761,627 (94.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$59,114 (3.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$37,450 (2.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,027 (0.6%)
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)
Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 1% for orthopedic surgery in FL.
Equivalent to $278,988 per 100 Medicare services performed
Geographic Context
Orthopedic surgeons within 10 mi
185
Per 100K population
12.4
County median income
$75,011
Nearest hospital
HCA FLORIDA TRINITY HOSPITAL
3.9 mi
3.9 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Billys is a clinical cardiology specialist, with moderate Medicare volume, with mixed engagement industry engagement in the top 1% of FL peers, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. 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. 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. Billys receive payments from pharmaceutical companies?
Yes. Dr. Billys received a total of $1,869,218 from 40 companies across 348 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. 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 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 →
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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. The Transparency Score measures 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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