MARK FOX, MD
Surgery Physician · CROSSVILLE, TN
Individual Active NPI 1073526596
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 349 | 651 | $336,409 | $108,019 | $86,456 |
| 2023 | 422 | 615 | $350,596 | $112,672 | $89,941 |
| 2022 | 465 | 724 | $428,058 | $135,685 | $107,863 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 50 | $103 | $69 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 49 | $159 | $159 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 47 | $154 | $113 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | $95 | $76 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 30 | $156 | $156 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 29 | $117 | $90 |
| 49507 | Repair of trapped groin hernia (5 years or older) | 29 | $528 | $412 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | $202 | $170 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 27 | $84 | $62 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 23 | $51 | $39 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 17 | $16 | $13 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 16 | $290 | $231 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | MD18036 | TN |
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.