PAUL JONES
Urology Physician · CALDWELL, ID
Individual Active NPI 1013331172
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 369 | 1,005 | $329,511 | $124,351 | $90,916 |
| 2023 | 336 | 918 | $252,942 | $99,997 | $72,754 |
| 2022 | 124 | 223 | $63,993 | $24,020 | $18,914 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 293 | $89 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 80 | $90 | $61 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 58 | $73 | $49 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 | $61 | $40 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 52 | $123 | $81 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 46 | $23 | $18 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 34 | $123 | $88 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 32 | $130 | $101 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 23 | $432 | $345 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 22 | $71 | $54 |
| 52332 | Insertion of stent in ureter using an endoscope | 19 | $106 | $81 |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 19 | $137 | $110 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | M-16790 | ID |
| Urology Physician | 208800000X | PG205281 | OR |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.