JAMES COLE, M.D.
Orthopaedic Surgery of the Spine Physician · INDIANAPOLIS, IN
Individual Active NPI 1144227471
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 106 | 394 | $285,690 | $104,107 | $80,355 |
| 2023 | 163 | 724 | $462,963 | $173,436 | $136,049 |
| 2022 | 153 | 601 | $350,327 | $135,295 | $106,341 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 75 | $83 | $53 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 34 | $36 | $26 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 32 | $224 | $178 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 27 | $154 | $98 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 24 | $114 | $77 |
| 72170 | X-ray of pelvis, 1-2 views | 21 | $25 | $18 |
| 20939 | Aspiration of bone marrow for spine bone graft | 17 | $61 | $48 |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | 16 | $223 | $178 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 16 | $47 | $31 |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | 16 | $1,442 | $1,148 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 13 | $660 | $526 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ✓ | 01050980A | IN |
| Orthopaedic Surgery Physician | 207X00000X | 01050980A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Orthopaedic Surgery of the Spine Physician providers in Indiana →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.