Ophthalmology · Knoxville, TN
NPI
1083877369
Since 2008
Specialty
Ophthalmology
Code 207W00000X
Group practices
1
Medicare group memberships
Hospitals
1
Hospital affiliations
1932 Alcoa Hwy Ste 255
Knoxville, TN, 37920
Phone (865) 244-2030
Groups this clinician bills Medicare through
Medicare paid, 2024
$339K
4,390 services
Medicare patients, 2024
1,063
Average age 77
Drug cost, 2024
$830K
6,962 prescriptions
Company payments, 2025
$841
From 9 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by James M Rouse was code 92014 (ophthalmological e&m), 776 times for 753 patients. In total James M Rouse billed 4,390 services in 41 codes, and Medicare paid $339K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2019-01-31.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 92014 Ophthalmological E&M | Office | 776 | 753 | $76.20 | $59K |
| 92012 Ophthalmological E&M | Office | 732 | 556 | $52.91 | $39K |
| 92133 Computerized Ophthalmic Imaging | Office | 571 | 560 | $22.35 | $13K |
| 99426 Chronic, Principal, and Transitional Care Management | Office | 504 | 129 | $44.69 | $23K |
| 92083 Vision, Hearing, and Speech Services | Office | 467 | 456 | $38.87 | $18K |
| 99427 Chronic, Principal, and Transitional Care Management | Office | 230 | 100 | $33.37 | $7,675 |
| 99214 Office E&M - Established | Office | 173 | 149 | $83.19 | $14K |
| 92136 Ultrasound - Nonspecific | Office | 166 | 108 | $29.37 | $4,876 |
| 66984 Cataract Surgery | Facility | 159 | 100 | $332.80 | $53K |
| 92020 Ophthalmological E&M | Office | 123 | 121 | $18.24 | $2,244 |
| 99204 Office E&M - New | Office | 78 | 78 | $96.76 | $7,547 |
| 66174 Fluid Flow and Drainage of Eye (Any Method) | Facility | 53 | 38 | $442.73 | $23K |
| 76514 Ultrasound - Nonspecific | Office | 51 | 51 | $6.92 | $353 |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 40 | 37 | $11.44 | $458 |
| 66821 Cataract Surgery | Facility | 35 | 27 | $211.09 | $7,388 |
By year: 2022 $351K for 4,478 services; 2023 $337K for 4,249 services; 2024 $339K for 4,390 services.
Medicare prescription drug claims, 2024
In 2024, the drug James M Rouse prescribed most often to Medicare patients was Latanoprost, with 1,585 prescriptions and refills. In total James M Rouse wrote 6,962 Medicare prescriptions that cost $830K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Latanoprost Generic | 1,585 | 3,538 | 459 | $17K |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 916 | 2,363 | 271 | $16K |
| Brimonidine Tartrate Generic | 656 | 1,499 | 218 | $34K |
| Timolol Maleate Generic | 583 | 1,336 | 180 | $9,833 |
| Lumigan Bimatoprost | 372 | 830 | 116 | $204K |
| Dorzolamide Hcl Generic | 350 | 853 | 113 | $7,662 |
| Prednisolone Acetate Generic | 316 | 438 | 191 | $16K |
| Ofloxacin Generic | 310 | 317 | 224 | $3,469 |
| Travoprost Generic | 261 | 564 | 69 | $47K |
| Combigan Brimonidine Tartrate/Timolol | 243 | 498 | 71 | $97K |
| Ketorolac Tromethamine Generic | 220 | 306 | 167 | $3,838 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 158 | 317 | 45 | $23K |
| Rocklatan Netarsudil Mesylat/Latanoprost | 111 | 178 | 30 | $60K |
| Rhopressa Netarsudil Mesylate | 99 | 154 | 27 | $45K |
| Alphagan P Brimonidine Tartrate | 94 | 175 | 27 | $42K |
Brand drugs: 2,210 claims; generic drugs: 4,752 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid James M Rouse $841 ($841 in general payments such as food, travel and fees) from 9 companies. The largest payer was Abbvie Inc. with $401.
| Company | Payments | Amount |
|---|---|---|
| Abbvie Inc. ABBV | 23 | $401 |
| Johnson & Johnson Surgical Vision, Inc. JNJ | 1 | $125 |
| Alcon Vision LLC ALC | 5 | $108 |
| Tarsus Pharmaceuticals, Inc. TARS | 3 | $61.53 |
| Mallinckrodt Hospital Products Inc. | 2 | $47.44 |
| Sight Sciences, Inc. SGHT | 2 | $36.81 |
| RxSight Inc RXST | 1 | $23.39 |
| GlaxoSmithKline, LLC. GSK | 1 | $19.81 |
| Dompe US, Inc. | 1 | $17.57 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.