JOHN JAMES, MD
Surgery Physician · PARKER, CO
Individual Active NPI 1023233368
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 239 | 839 | $551,478 | $108,020 | $84,519 |
| 2023 | 210 | 1,403 | $2,274,452 | $653,906 | $520,066 |
| 2022 | 195 | 945 | $600,693 | $123,996 | $98,148 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 98 | $56 | $45 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 97 | $75 | $60 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 95 | $145 | $112 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 88 | $65 | $50 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 40 | $96 | $74 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 35 | $170 | $135 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 32 | $48 | $38 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 | $167 | $121 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 17 | $35 | $24 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 17 | $131 | $98 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | $120 | $96 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 | $112 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 52220 | CO |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Colorado
- NPI 1508224262
- NPI 1871555102
- NPI 1760218440
- NPI 1821181876
- NPI 1790892008
- NPI 1356519391
- NPI 1467850834
- NPI 1639174907
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.