THOMAS WILCOX, DO
Pulmonary Disease Physician · BOULDER, CO
Individual Active NPI 1073629507
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 432 | 1,259 | $239,212 | $117,113 | $86,017 |
| 2023 | 433 | 1,203 | $212,269 | $114,430 | $86,110 |
| 2022 | 415 | 1,228 | $198,242 | $125,976 | $94,252 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 454 | $128 | $94 |
| 94729 | Test to examine how well the lungs exchange gases | 168 | $58 | $43 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 161 | $45 | $35 |
| 94010 | Test to measure expiratory airflow and volume | 94 | $28 | $21 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 83 | $40 | $31 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 80 | $77 | $57 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 78 | $165 | $105 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 46 | $81 | $60 |
| 99291 | Critical care, first 30-74 minutes | 38 | $208 | $166 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | $48 | $37 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | DR.0035574 | CO |
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.