JAMES HART, D.O.
Family Medicine Physician · OAK RIDGE, TN
Individual Active NPI 1093196420
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 73 | 1,208 | $116,998 | $53,965 | $45,251 |
| 2023 | 226 | 797 | $184,870 | $77,812 | $61,720 |
| 2022 | 211 | 718 | $126,487 | $65,718 | $51,682 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 100 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 87 | $122 | $92 |
| 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 | 83 | $16 | $12 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 73 | $112 | $90 |
| 80053 | Blood test, comprehensive group of blood chemicals | 52 | $10 | $10 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 47 | $8 | $8 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 43 | $87 | $68 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 43 | $13 | $13 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 42 | $16 | $16 |
| 82607 | Cyanocobalamin (vitamin b-12) level | 33 | $15 | $15 |
| 83036 | Hemoglobin a1c level | 32 | $10 | $10 |
| 82306 | Vitamin d-3 level | 29 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 3257 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.