JAMES TONEY, MD
Otolaryngology Physician · TYLER, TX
Individual Active NPI 1336115104
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 217 | 515 | $111,932 | $28,359 | $20,512 |
| 2023 | 242 | 673 | $130,453 | $33,692 | $23,706 |
| 2022 | 281 | 746 | $146,238 | $39,564 | $27,862 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 176 | $30 | $20 |
| 69220 | Simple removal of skin debris and drainage of mastoid cavity | 109 | $67 | $52 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 84 | $81 | $58 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 70 | $64 | $43 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 31 | $35 | $22 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 14 | $96 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | D5234 | TX |
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.