JAMES METCALF, MD
Neurological Surgery Physician · ITHACA, NY
Individual Active NPI 1184696965
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 117 | 214 | $242,179 | $60,993 | $48,173 |
| 2023 | 151 | 255 | $236,272 | $64,083 | $50,078 |
| 2022 | 151 | 240 | $288,625 | $77,392 | $61,156 |
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 | 84 | $87 | $66 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 43 | $106 | $79 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 28 | $1,055 | $840 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 22 | $197 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ✓ | 270928 | NY |
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.