JAMES TSENG, M.D.
Surgery Physician · LAKE HAVASU CITY, AZ
Individual Active NPI 1245463157
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 339 | 862 | $325,049 | $140,177 | $107,196 |
| 2023 | 351 | 944 | $374,769 | $144,632 | $112,623 |
| 2022 | 413 | 1,051 | $377,458 | $149,278 | $113,353 |
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 | 131 | $88 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 106 | $123 | $85 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 90 | $47 | $37 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 85 | $125 | $92 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 74 | $161 | $113 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 72 | $134 | $113 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 36 | $108 | $61 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 29 | $162 | $126 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 28 | $5 | $3 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | $240 | $196 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 28 | $89 | $64 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 25 | $171 | $171 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 55430 | AZ |
| Surgery Physician | 208600000X | 4301092859 | 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.