JAMES FOX, M.D.
Ophthalmology Physician · GRAND JUNCTION, CO
Individual Active NPI 1295997351
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 971 | 4,355 | $2,121,052 | $753,255 | $560,155 |
| 2023 | 832 | 3,755 | $1,696,944 | $615,624 | $461,508 |
| 2022 | 797 | 3,511 | $1,541,864 | $578,364 | $438,765 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92136 | Measurement of corneal curvature and depth of eye | 912 | $40 | $29 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 761 | $472 | $363 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 463 | $167 | $106 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 368 | $129 | $91 |
| 92083 | Exam of visual field with extended testing | 299 | $65 | $46 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 292 | $91 | $59 |
| 92133 | Imaging of optic nerve | 218 | $34 | $24 |
| 92134 | Imaging of retina | 159 | $38 | $28 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 140 | $347 | $271 |
| 92250 | Photography of the retina | 106 | $34 | $26 |
| 83861 | Microfluid analysis of tears | 98 | $22 | $22 |
| 92020 | Exam of the internal drainage system of eye | 95 | $28 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | DR.0055856 | CO |
| Ophthalmology Physician | 207W00000X | 14844 | NV |
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.