JAMES ELLENBURG, M.D.
Urology Physician · OPELIKA, AL
Individual Active NPI 1205290087
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 398 | 1,484 | $451,817 | $157,075 | $116,178 |
| 2023 | 351 | 1,719 | $410,085 | $151,661 | $114,679 |
| 2022 | 318 | 1,604 | $446,328 | $168,862 | $128,791 |
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 | 314 | $113 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 249 | $81 | $58 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 134 | $150 | $100 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 73 | $45 | $34 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 72 | $209 | $157 |
| 81002 | Urinalysis, manual test | 58 | $3 | $3 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 58 | $22 | $17 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | $72 | $58 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 29 | $101 | $65 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 24 | $372 | $297 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 23 | $75 | $55 |
| 76872 | Ultrasound scan of pelvic region through rectum | 18 | $121 | $96 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | MD.36604 | AL |
| 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 Urology Physician providers in Alabama
- NPI 1841392644
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- NPI 1669445888
- NPI 1366973141
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.