STEPHEN TOLHURST, M.D.
Orthopaedic Surgery of the Spine Physician · FLOWER MOUND, TX
Individual Active NPI 1023234655
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 395 | 1,959 | $2,411,190 | $618,203 | $487,140 |
| 2023 | 417 | 2,155 | $2,171,596 | $586,983 | $462,586 |
| 2022 | 387 | 1,749 | $1,716,930 | $476,088 | $373,911 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 72100 | X-ray of lower and sacral spine, 2-3 views | 269 | $37 | $28 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 235 | $86 | $65 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 176 | $121 | $86 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 142 | $159 | $118 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 137 | $239 | $190 |
| 22614 | Fusion of additional segment of spine | 102 | $359 | $286 |
| 72040 | X-ray of upper spine, 2-3 views | 98 | $37 | $29 |
| 22612 | Fusion of spine in lower back | 72 | $1,401 | $1,116 |
| 22845 | Placement of stabilizing device to front, 2-3 spine bone segments | 64 | $691 | $550 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 57 | $143 | $106 |
| 22558 | Fusion of lower spine bone through abdomen with partial removal of disc | 57 | $636 | $507 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 42 | $682 | $543 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ✓ | P3676 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Orthopaedic Surgery of the Spine Physician providers in Texas →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.