npidexNPI registry + Medicare data

JAMES MODISETTE, M.D.

Nephrology Physician · THIBODAUX, LA

Individual Active NPI 1063413995

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244251,333$485,175$177,917$135,777
20234751,787$654,496$232,406$180,789
20224401,651$720,170$245,201$192,097

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes483$111$88
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more302$118$82
90960Dialysis services, 4 or more physician visits per month (20 years or older)137$330$258
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes104$73$59
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes75$162$125
99238Hospital discharge day management, 30 minutes or less42$76$60
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more25$156$92
81001Manual urinalysis test with examination using microscope, automated20$3$3
90935Hemodialysis procedure with physician evaluation16$63$51

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nephrology Physician207RN0300X✓22699LA

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.