JAMES HEINRICH, M.D.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · MISSION VIEJO, CA
Individual Active NPI 1053321000
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 273 | 1,999 | $1,174,915 | $698,573 | $554,071 |
| 2023 | 246 | 1,511 | $751,813 | $319,841 | $251,350 |
| 2022 | 224 | 1,677 | $599,460 | $273,325 | $213,450 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 567 | $98 | $76 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 86 | $186 | $144 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 77 | $8 | $6 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 64 | $449 | $358 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 61 | $138 | $106 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 57 | $179 | $140 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 55 | $120 | $95 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 49 | $449 | $358 |
| 13152 | Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm | 37 | $448 | $357 |
| 11642 | Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 33 | $162 | $129 |
| 11900 | Injection into skin growth, 1-7 growths | 26 | $63 | $50 |
| 17000 | Destruction of precancer skin growth, 1 growth | 25 | $74 | $57 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ✓ | G66486 | CA |
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.