JAMES LYONS, M.D.
Advanced Heart Failure and Transplant Cardiology Physician · POUGHKEEPSIE, NY
Individual Active NPI 1053306183
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,194 | 5,172 | $1,101,320 | $283,148 | $212,133 |
| 2023 | 2,553 | 5,462 | $1,191,611 | $302,862 | $227,863 |
| 2022 | 2,746 | 5,722 | $1,295,615 | $322,609 | $241,909 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,623 | $9 | $7 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 772 | $139 | $98 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 449 | $84 | $67 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 443 | $18 | $14 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 370 | $16 | $11 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 288 | $72 | $53 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 171 | $184 | $144 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 126 | $72 | $57 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 103 | $127 | $100 |
| 36415 | Insertion of needle into vein for collection of blood sample | 77 | $9 | $9 |
| 85610 | Blood test, clotting time | 76 | $4 | $4 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 70 | $15 | $11 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | ✓ | 260442 | NY |
| Cardiovascular Disease Physician | 207RC0000X | 260442 | NY | |
| Nuclear Cardiology Physician | 207UN0901X | 260442 | NY |
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.