THOMAS SHAUGHNESSY, M.D.
Nephrology Physician · EDGEWOOD, KY
Individual Active NPI 1326083379
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 556 | 2,406 | $485,368 | $221,258 | $164,750 |
| 2023 | 554 | 2,060 | $504,288 | $244,921 | $185,624 |
| 2022 | 529 | 1,902 | $469,464 | $234,128 | $177,751 |
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 | 500 | $98 | $62 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 497 | $70 | $55 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 406 | $15 | $11 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 261 | $105 | $83 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 126 | $317 | $251 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 98 | $45 | $36 |
| 90935 | Hemodialysis procedure with physician evaluation | 76 | $65 | $51 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 | $78 | $54 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 44 | $151 | $119 |
| 90945 | Dialysis procedure including 1 evaluation | 44 | $75 | $57 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | $113 | $90 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 40 | $147 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 35-053140 | OH |
| Nephrology Physician | 207RN0300X | 21833 | KY | |
| Nephrology Physician | 207RN0300X | 01034872 | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Kentucky
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.