JAMES MACIEL, MD, MPH
Surgery Physician · RIVERSIDE, CA
Individual Active NPI 1225412521
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 353 | 3,430 | $1,536,520 | $1,225,759 | $968,432 |
| 2023 | 211 | 3,636 | $1,906,655 | $1,629,837 | $1,297,895 |
| 2022 | 151 | 1,022 | $189,869 | $96,225 | $75,726 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 423 | $241 | $191 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 359 | $120 | $95 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 350 | $79 | $63 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 253 | $65 | $51 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 239 | $78 | $61 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 177 | $76 | $61 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 128 | $78 | $48 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 78 | $42 | $34 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 75 | $53 | $28 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 71 | $152 | $105 |
| 49450 | Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast | 63 | $663 | $525 |
| 11044 | Removal of bone, 20.0 sq cm or less | 59 | $329 | $259 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | A146204 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in California
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.