Internal Medicine · Ballston Lake, NY
NPI
1831273762
Since 2006
Specialty
Internal Medicine
Code 207R00000X
Group practices
1
Medicare group memberships
Hospitals
4
Hospital affiliations
1184 State Route 50
Ballston Lake, NY, 12019
Phone (518) 384-1281
Groups this clinician bills Medicare through
Medicare paid, 2024
$32K
921 services
Medicare patients, 2024
114
Average age 74
Drug cost, 2024
$395K
4,132 prescriptions
Company payments, 2025
$1,532
From 22 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by James Gaylord was code 99213 (office e&m - established), 94 times for 58 patients. In total James Gaylord billed 921 services in 65 codes, and Medicare paid $32K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2013-01-30.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99213 Office E&M - Established | Office | 94 | 58 | $58.08 | $5,460 |
| 36415 Venipuncture Blood Collection | Office | 91 | 69 | $8.65 | $787 |
| 80053 Clinical Chemistry | Office | 85 | 71 | $10.35 | $880 |
| 85025 Blood Count | Office | 75 | 57 | $7.61 | $571 |
| 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 | 68 | 50 | $11.91 | $810 |
| 80061 Clinical Chemistry | Office | 51 | 48 | $13.12 | $669 |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 45 | 45 | $122.96 | $5,533 |
| G0008 Administration of influenza virus vaccine | Office | 35 | 35 | $30.83 | $1,079 |
| 99214 Office E&M - Established | Office | 32 | 28 | $78.03 | $2,497 |
| 90662 Vaccine Product | Office | 29 | 29 | $81.82 | $2,373 |
| 84443 Clinical Chemistry | Office | 24 | 24 | $16.46 | $395 |
| 83036 Blood Count | Office | 17 | 16 | $9.52 | $162 |
| 93000 Electrocardiogram | Office | 17 | 16 | $7.57 | $129 |
| G0103 Prostate cancer screening; prostate specific antigen test (psa) | Office | 17 | 17 | $18.92 | $322 |
| G0442 Annual alcohol misuse screening, 5 to 15 minutes | Office | 15 | 15 | $17.76 | $266 |
By year: 2022 $42K for 1,289 services; 2023 $39K for 1,125 services; 2024 $32K for 921 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 91 | 69 | $8.65 | $787 |
| 80053 Clinical Chemistry | 85 | 71 | $10.35 | $880 |
| 85025 Blood Count | 75 | 57 | $7.61 | $571 |
| 80061 Clinical Chemistry | 51 | 48 | $13.12 | $669 |
| 84443 Clinical Chemistry | 24 | 24 | $16.46 | $395 |
| G0103 Prostate cancer screening; prostate specific antigen test (psa) | 17 | 17 | $18.92 | $322 |
| 83036 Blood Count | 17 | 16 | $9.52 | $162 |
| 82306 Clinical Chemistry | 14 | 14 | $29.01 | $406 |
| 80048 Clinical Chemistry | 13 | 11 | $8.29 | $108 |
Medicare prescription drug claims, 2024
In 2024, the drug James Gaylord prescribed most often to Medicare patients was Atorvastatin Calcium, with 233 prescriptions and refills. In total James Gaylord wrote 4,132 Medicare prescriptions that cost $395K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Atorvastatin Calcium Generic | 233 | 668 | 66 | $2,682 |
| Lisinopril Generic | 191 | 571 | 56 | $1,046 |
| Omeprazole Generic | 133 | 350 | 42 | $1,683 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 123 | 123 | 26 | $2,861 |
| Levothyroxine Sodium Generic | 105 | 297 | 29 | $2,019 |
| Alprazolam Generic | 90 | 90 | 27 | $504 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 90 | 131 | 22 | $3,415 |
| Losartan Potassium Generic | 87 | 258 | 25 | $846 |
| Tramadol Hcl Generic | 86 | 86 | 22 | $563 |
| Hydrochlorothiazide Generic | 86 | 247 | 26 | $425 |
| Zolpidem Tartrate Generic | 81 | 83 | 11 | $578 |
| Gabapentin Generic | 77 | 124 | 19 | $923 |
| Amlodipine Besylate Generic | 76 | 223 | 24 | $456 |
| Metoprolol Succinate Generic | 67 | 165 | 17 | $739 |
| Rosuvastatin Calcium Generic | 66 | 197 | 21 | $1,062 |
Brand drugs: 484 claims; generic drugs: 3,601 claims; opioid claims: 301.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid James Gaylord $1,532 ($1,532 in general payments such as food, travel and fees) from 22 companies. The largest payer was Abbvie Inc. with $382.
| Company | Payments | Amount |
|---|---|---|
| Abbvie Inc. ABBV | 22 | $382 |
| Novo Nordisk Inc NVO | 8 | $188 |
| Sanofi Pasteur Inc. SNY | 2 | $144 |
| GlaxoSmithKline, LLC. GSK | 7 | $142 |
| Phathom Pharmaceuticals, Inc. PHAT | 4 | $82.58 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 3 | $74.81 |
| AstraZeneca Pharmaceuticals LP AZN | 4 | $65.26 |
| Pfizer Inc. PFE | 3 | $61.34 |
| Otsuka America Pharmaceutical, Inc. 4578.T | 2 | $47.12 |
| Amgen Inc. AMGN | 2 | $45.28 |
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.