JAMES HIGGINS, D.O.
Family Medicine Physician · EAST ISLIP, NY
Individual Active NPI 1083708697
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 179 | 923 | $198,092 | $88,218 | $64,573 |
| 2023 | 193 | 1,491 | $356,718 | $157,354 | $121,834 |
| 2022 | 194 | 1,369 | $318,693 | $142,614 | $109,732 |
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 | 295 | $148 | $104 |
| 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 | 189 | $19 | $14 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 143 | $106 | $72 |
| G0444 | Annual depression screening, 5 to 15 minutes | 30 | $23 | $23 |
| 99497 | Advance care planning, first 30 minutes | 27 | $95 | $93 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | $152 | $152 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 | $17 | $13 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 15 | $135 | $83 |
| 99496 | Transitional care management services for problem of high complexity | 12 | $336 | $272 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 12 | $217 | $162 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 206307 | 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.