Medicare Enrolled
James Falconer
Internal Medicine · Thomasville, GA
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 Falconer 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 Falconer?
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What this data tells you about Falconer
James Falconer is an internal medicine specialist in Thomasville, GA, with 20 years of NPI registration. Based on federal Medicare data, Falconer performed 9,914 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Falconer received a total of $4,322 from 49 pharmaceutical and/or device companies across 288 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 Falconer 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
▲ Top 3% volume in GA
$4,322 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗9,914
Medicare services
Top 3% in GA for internal medicine
Not available
Unique patients (not deduplicated)
$28
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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 2,100 | $18 | $53 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
942 | $8 | $18 |
| 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. |
783 | $82 | $270 |
| 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. |
686 | $55 | $183 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
515 | $13 | $55 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
470 | $10 | $43 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
438 | $8 | $32 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
352 | $122 | $342 |
| Annual depression screening | 350 | $17 | $54 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
344 | $8 | $35 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
286 | $6 | $30 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
284 | $9 | $76 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
241 | $9 | $40 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
220 | $30 | $76 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
214 | $71 | $163 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
175 | $1 | $5 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
147 | $6 | $24 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
146 | $5 | $21 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
145 | $3 | $13 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
132 | $46 | $107 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
113 | $16 | $69 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
85 | $18 | $65 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
75 | $44 | $220 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
66 | $15 | $62 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
64 | $21 | $93 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
62 | $14 | $60 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
58 | $40 | $169 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
56 | $148 | $412 |
| Bone density scan (DEXA) of hip, pelvis, and spine This test measures bone density in the hip, pelvis, and spine to assess bone strength. It also includes an assessment for spine fractures. |
37 | $48 | $170 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
37 | $4 | $13 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
30 | $9 | $58 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
28 | $13 | $56 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
26 | $18 | $75 |
| Iron level test | 24 | $6 | $26 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
22 | $4 | $18 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
21 | $25 | $106 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
19 | $4 | $15 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
19 | $16 | $153 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
18 | $28 | $239 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
17 | $5 | $21 |
| 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. |
17 | $132 | $362 |
| PSA test (prostate cancer screening) | 14 | $18 | $75 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
13 | $7 | $27 |
| 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. |
12 | $26 | $105 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $157 | $482 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$4,322
Total received (2018-2024)
Avg $617/year across 7 years
Top 18% in GA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
288
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
$504
2023
$337
2022
$624
2021
$354
2020
$199
2019
$1,158
2018
$1,146
Payments by company (2024)
LEO Pharma Inc.
$108
Boehringer Ingelheim Pharmaceuticals, Inc.
$86
Astellas Pharma US Inc
$80
PFIZER INC.
$60
Amgen Inc.
$48
AstraZeneca Pharmaceuticals LP
$38
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$22
Organogenesis Inc.
$18
Novo Nordisk Inc
$16
Lilly USA, LLC
$15
Otsuka America Pharmaceutical, Inc.
$13
Top 3 companies account for 54.3% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$562
AstraZeneca Pharmaceuticals LP
$530
Amgen Inc.
$333
Boehringer Ingelheim Pharmaceuticals, Inc.
$304
PFIZER INC.
$279
Janssen Pharmaceuticals, Inc
$264
GlaxoSmithKline, LLC.
$238
Lilly USA, LLC
$225
LEO Pharma Inc.
$218
Astellas Pharma US Inc
$182
Merck Sharp & Dohme Corporation
$96
Sunovion Pharmaceuticals Inc.
$84
ABBVIE INC.
$82
Novartis Pharmaceuticals Corporation
$76
SANOFI PASTEUR INC.
$53
Regeneron Healthcare Solutions, Inc.
$51
JAZZ PHARMACEUTICALS INC.
$49
SANOFI-AVENTIS U.S. LLC
$46
Bayer HealthCare Pharmaceuticals Inc.
$38
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$36
Otsuka America Pharmaceutical, Inc.
$33
Grifols USA, LLC
$32
Mallinckrodt Hospital Products Inc.
$32
AbbVie Inc.
$30
Insmed, Inc.
$28
Seqirus USA Inc
$28
Merck Sharp & Dohme LLC
$27
AbbVie, Inc.
$25
Allergan Inc.
$25
PORTOLA PHARMACEUTICALS, INC.
$24
Incyte Corporation
$23
Sumitomo Pharma America, Inc.
$23
Almatica Pharma LLC
$20
Organogenesis Inc.
$18
Vyera Pharmaceuticals, LLC
$18
Sanofi Pasteur Inc.
$17
Flexion Therapeutics, Inc.
$16
Amarin Pharma Inc.
$16
Jazz Pharmaceuticals Inc.
$15
Horizon Pharma plc
$15
Abbott Laboratories
$14
UCB, Inc.
$14
Inari Medical, Inc.
$13
Ironwood Pharmaceuticals, Inc
$13
Actelion Pharmaceuticals US, Inc.
$13
E.R. Squibb & Sons, L.L.C.
$12
Biohaven Pharmaceuticals, Inc.
$12
Valeritas, Inc.
$11
Inogen, Inc.
$8
Top 3 companies account for 33.0% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ADBRY · AFFINITY · AIRSUPRA · ANORO · Aimovig · Arikayce · BASAGLAR · BEVESPI AEROSPHERE · BEVYXXA · BREO · BYSTOLIC · CHANTIX · Cimzia · Creon · DUPIXENT · DUZALLO · Daraprim Tablet 25mg · ELIQUIS · ENTRESTO · EVENITY · Enbrel · FARXIGA · FASENRA · FLOWTRIEVER CATHETER · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL) · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · Flucelvax · FreeStyle Libre 2 · GEMTESA · GRALISE · INFLECTRA · INVOKANA · InogenOne · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LIBTAYO · LINZESS · LOKELMA · LONHALA MAGNAIR · MOUNJARO · MYRBETRIQ · NUCALA · NURTEC ODT · OFEV · OPSUMIT · OPZELURA · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolastin-C Liquid · Prolia · QULIPTA · REXULTI · RYBELSUS · Repatha · Rybelsus · S · SHINGRIX · SPEVIGO · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · TALTZ · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · V-GO · VRAYLAR · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · Zilretta
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
Internal medicine physicians in nearby ZIP areas
137
County median income
$60,140
Nearest hospital to ZIP centroid (approximate)
ARCHBOLD MEMORIAL HOSPITAL
0.0 mi
0.0 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
Falconer is a clinical cardiology specialist, with above-average Medicare volume (top 3% in GA), 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 Falconer experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Falconer performed 2,100 denosumab injection (prolia/xgeva) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Falconer receive payments from pharmaceutical companies?
Yes. Falconer received a total of $4,322 from 49 companies across 288 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 Falconer's costs compare to other internal medicine physicians in Thomasville?
Falconer's average Medicare payment per service is $28. 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 Falconer) 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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