JEFFREY JAMES, DO
Gynecologic Oncology Physician · LONE TREE, CO
Individual Active NPI 1316144868
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 179 | 858 | $440,949 | $168,444 | $133,135 |
| 2023 | 187 | 748 | $397,521 | $147,715 | $115,580 |
| 2022 | 187 | 909 | $350,331 | $146,652 | $114,434 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 273 | $128 | $100 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 111 | $91 | $70 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 92 | $180 | $141 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 70 | $77 | $62 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 50 | $220 | $175 |
| 99459 | Pelvic exam | 38 | $23 | $19 |
| 58571 | Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | 29 | $877 | $699 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | $128 | $97 |
| 38900 | Imaging of lymph nodes during surgery | 13 | $194 | $155 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 12 | $167 | $131 |
| 38570 | Biopsy and removal of lymph nodes of abdominal cavity using an endoscope | 12 | $299 | $238 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | ✓ | DR.0052892 | CO |
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.