JAMES MCCORMICK, DO
Colon & Rectal Surgery Physician · MONROEVILLE, PA
Individual Active NPI 1336156074
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 165 | 409 | $419,361 | $135,889 | $106,639 |
| 2023 | 148 | 367 | $405,856 | $124,026 | $99,003 |
| 2022 | 137 | 338 | $371,628 | $119,139 | $93,968 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 49 | $88 | $64 |
| 45330 | Diagnostic exam of lower portion of large bowel using a flexible endoscope | 42 | $172 | $126 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 40 | $215 | $153 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | $77 | $62 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 22 | $124 | $86 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | $169 | $135 |
| 44213 | Partial release of large bowel and partial removal of large bowel using an endoscope | 16 | $180 | $144 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $127 | $102 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 12 | $176 | $141 |
| 44207 | Partial removal of large bowel and reattachment to rectum using an endoscope | 11 | $1,748 | $1,397 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | OS010297L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Colon & Rectal Surgery Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.