DOUGLAS DOWNEY, M.D.
Surgery Physician · CORDELE, GA
Individual Active NPI 1083775803
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 127 | 306 | $200,107 | $68,932 | $52,841 |
| 2023 | 152 | 353 | $240,913 | $89,966 | $70,731 |
| 2022 | 157 | 362 | $254,275 | $102,595 | $80,415 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 46 | $75 | $51 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 40 | $71 | $54 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 30 | $98 | $62 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 24 | $81 | $61 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | $114 | $85 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 13 | $116 | $85 |
| 74300 | Review by radiologist of bile and/or pancreatic duct image during surgery | 12 | $11 | $9 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 11 | $565 | $454 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 077727 | GA |
| Surgery Physician | 208600000X | MD19112 | ME | |
| Surgery Physician | 208600000X | MD.26147 | AL |
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.