JAMES MACDOUGALL, MD
Orthopaedic Surgery Physician · ABERDEEN, SD
Individual Active NPI 1235135823
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 590 | 2,164 | $316,897 | $288,241 | $222,723 |
| 2023 | 455 | 1,653 | $214,207 | $191,211 | $146,963 |
| 2022 | 341 | 1,173 | $168,225 | $146,902 | $115,100 |
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 | 224 | $63 | $45 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 221 | $93 | $69 |
| 20610 | Aspiration and/or injection of fluid from large joint | 121 | $44 | $30 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 110 | $35 | $26 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 108 | $11 | $8 |
| 73502 | X-ray of hip, 2-3 views | 105 | $10 | $7 |
| 73560 | X-ray of knee, 1-2 views | 93 | $8 | $6 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 92 | $12 | $9 |
| 73562 | X-ray of knee, 3 views | 89 | $9 | $5 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 88 | $128 | $94 |
| 73030 | X-ray of shoulder, minimum of 2 views | 44 | $9 | $6 |
| 72040 | X-ray of upper spine, 2-3 views | 41 | $10 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 3324 | SD |
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.