PATRICK HIGGINS, D.O.
Pulmonary Disease Physician · MEMPHIS, TN
Individual Active NPI 1235472507
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 642 | 2,090 | $533,997 | $166,445 | $128,457 |
| 2023 | 717 | 1,916.5 | $440,143 | $171,173 | $132,440 |
| 2022 | 664 | 1,643 | $398,776 | $141,639 | $108,967 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 644 | $112 | $89 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 209 | $85 | $61 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 201 | $75 | $60 |
| 94010 | Test to measure expiratory airflow and volume | 182 | $25 | $18 |
| 71046 | X-ray of chest, 2 views | 172 | $31 | $22 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 74 | $123 | $94 |
| 71250 | Ct scan of chest without contrast | 59 | $126 | $99 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 51 | $163 | $123 |
| 94729 | Test to examine how well the lungs exchange gases | 30 | $52 | $38 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 29 | $41 | $31 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 27 | $47 | $38 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 21 | $105 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 3201 | TN |
| Internal Medicine Physician | 207R00000X | 3201 | TN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 3201 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.