JAMES CLAY
Surgery Physician · BEMIDJI, MN
Individual Active NPI 1194165886
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 242 | 544 | $475,924 | $86,231 | $68,897 |
| 2023 | 220 | 471 | $423,861 | $80,441 | $64,704 |
| 2022 | 265 | 626 | $557,257 | $102,819 | $80,772 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 56 | $235 | $197 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | $75 | $60 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 33 | $100 | $84 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | $82 | $62 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 29 | $164 | $131 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 25 | $93 | $68 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 20 | $47 | $37 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $126 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 18 | $63 | $44 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 14 | $17 | $13 |
| 76937 | Ultrasonic guidance for blood vessel access | 14 | $13 | $10 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 13 | $170 | $170 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 64457 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Minnesota
- NPI 1700240389
- NPI 1609926690
- NPI 1023076064
- NPI 1467983528
- NPI 1942234851
- NPI 1508919572
- NPI 1447278171
- NPI 1235442575
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.