JAMES MACDONALD, M.D.
Neurology Physician · SMITHFIELD, NC
Individual Active NPI 1235304825
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 338 | 590 | $177,968 | $64,377 | $44,991 |
| 2023 | 384 | 1,165 | $210,971 | $77,414 | $57,514 |
| 2022 | 414 | 1,824 | $240,517 | $91,861 | $65,230 |
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 | 249 | $84 | $55 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 65 | $120 | $82 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 44 | $73 | $58 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 40 | $104 | $73 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | $121 | $96 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 31 | $161 | $108 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 31 | $162 | $126 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $156 | $95 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 20 | $207 | $132 |
| 99291 | Critical care, first 30-74 minutes | 18 | $198 | $158 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 17 | $111 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ✓ | 2010-00032 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Neurology Physician providers in North Carolina
- NPI 1720039720
- NPI 1144809229
- NPI 1497837595
- NPI 1801474614
- NPI 1528175866
- NPI 1932661741
- NPI 1336431451
- NPI 1740441286
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.