ALICE HIGDON, DO
Surgery Physician · PADUCAH, KY
Individual Active NPI 1326488891
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 238 | 467 | $179,708 | $96,713 | $74,299 |
| 2023 | 155 | 312 | $99,416 | $53,009 | $39,973 |
| 2022 | 187 | 397 | $149,762 | $78,911 | $60,099 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 81 | $103 | $73 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 50 | $84 | $60 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $156 | $106 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 29 | $74 | $59 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 26 | $123 | $98 |
| 47562 | Removal of gallbladder using an endoscope | 25 | $595 | $467 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 20 | $52 | $29 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 20 | $46 | $33 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 12 | $119 | $87 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 04313 | KY |
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.