npidexNPI registry + Medicare data

JAMES PRIETO, MD

Colon & Rectal Surgery Physician · SAN ANTONIO, TX

Individual Active NPI 1154580769

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024168555$400,692$134,022$104,519
2023185637$400,114$146,928$114,887
2022146435$201,042$73,890$55,983

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more122$171$130
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more62$210$163
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more53$118$85
46600Diagnostic exam of anus using an endoscope53$107$80
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes52$113$90
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes39$165$131
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more15$160$102
45380Biopsy of large bowel using a flexible endoscope14$113$90

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Colon & Rectal Surgery Physician208C00000X✓N4001TX
Surgery Physician208600000XME 101254FL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Colon & Rectal Surgery Physician providers in Texas

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

JAMES PRIETO, MD — NPI 1154580769