JAMES GROSS, M.D.
Otolaryngology Physician · MOUNT VERNON, WA
Individual Active NPI 1023082203
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 304 | 1,603 | $92,645 | $43,308 | $30,053 |
| 2023 | 486 | 4,852 | $310,197 | $123,653 | $87,538 |
| 2022 | 588 | 5,006 | $406,189 | $154,440 | $109,124 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 416 | $4 | $3 |
| 95024 | Test for allergy using allergenic extract injected into skin | 383 | $1 | $1 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 240 | $15 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 161 | $64 | $44 |
| 69210 | Removal of impacted ear wax | 133 | $32 | $20 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 | $130 | $89 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 31 | $80 | $48 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 31 | $35 | $23 |
| 92504 | Exam of ear using a microscope | 22 | $9 | $5 |
| 17000 | Destruction of precancer skin growth, 1 growth | 17 | $54 | $43 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 15 | $68 | $50 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 14 | $95 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | MD00019697 | WA |
| Facial Plastic Surgery Physician | 207YS0123X | MD00019697 | WA | |
| Otolaryngic Allergy Physician | 207YX0602X | MD00019697 | WA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD00019697 | WA | |
| Plastic Surgery Physician | 208200000X | MD00019697 | WA | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | MD00019697 | WA | |
| Surgery Physician | 208600000X | MD00019697 | WA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD00019697 | WA | |
| Surgical Oncology Physician | 2086X0206X | MD00019697 | WA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Otolaryngology Physician providers in Washington
- NPI 1992937825
- NPI 1437129186
- NPI 1295706752
- NPI 1629633284
- NPI 1174029078
- NPI 1114331972
- NPI 1780664888
- NPI 1790745933
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.