ADAM FROME, MD
Nephrology Physician · THE WOODLANDS, TX
Individual Active NPI 1215124417
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 641 | 3,205 | $657,348 | $302,790 | $227,880 |
| 2023 | 596 | 1,872 | $530,030 | $218,651 | $159,660 |
| 2022 | 542 | 1,724 | $538,595 | $238,886 | $183,087 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 1,058 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 846 | $123 | $89 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 321 | $61 | $49 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 209 | $47 | $38 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 158 | $166 | $126 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 155 | $161 | $112 |
| 90966 | Home dialysis services per month (20 years or older) | 151 | $249 | $194 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 70 | $317 | $249 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 50 | $270 | $213 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | $76 | $59 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 43 | $216 | $168 |
| 99496 | Transitional care management services for problem of high complexity | 32 | $257 | $205 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | M7976 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology 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.