JAMES MACDONALD, DO
Surgery Physician · THREE RIVERS, MI
Individual Active NPI 1225142284
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 90 | 179 | $85,744 | $23,180 | $18,044 |
| 2023 | 109 | 187 | $117,363 | $33,146 | $26,364 |
| 2022 | 155 | 260 | $171,929 | $47,871 | $36,949 |
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 | 33 | $88 | $64 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | $69 | $55 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | $49 | $39 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 16 | $225 | $182 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 13 | $54 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 5101010987 | 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.