JAMES ROWLEY, MD
Sleep Medicine (Internal Medicine) Physician · CHICAGO, IL
Individual Active NPI 1184662207
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 309 | 532 | $136,819 | $48,247 | $35,364 |
| 2023 | 299 | 523 | $133,285 | $48,892 | $36,294 |
| 2022 | 365 | 1,066 | $229,073 | $97,245 | $76,001 |
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 | 71 | $97 | $67 |
| 95810 | Sleep study in sleep lab (6 years or older) | 64 | $111 | $85 |
| 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 | 55 | $16 | $13 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 52 | $78 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 47 | $134 | $93 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 41 | $119 | $86 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 39 | $37 | $29 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 26 | $127 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $66 | $44 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | $131 | $103 |
| 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 | 16 | $16 | $13 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 15 | $89 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ✓ | 036163493 | IL |
| Internal Medicine Physician | 207R00000X | 4301066459 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301066459 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 4301066459 | MI |
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.