JAMES GUILLE, M.D.
Orthopaedic Surgery Physician · POTTSTOWN, PA
Individual Active NPI 1346218237
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 292 | 1,570 | $360,651 | $109,145 | $82,651 |
| 2023 | 329 | 2,437 | $436,601 | $138,093 | $105,844 |
| 2022 | 341 | 4,977 | $532,763 | $198,224 | $150,305 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 438 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 152 | $92 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 85 | $113 | $77 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 63 | $128 | $99 |
| 20610 | Aspiration and/or injection of fluid from large joint | 61 | $71 | $55 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 51 | $170 | $133 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 32 | $109 | $80 |
| 73562 | X-ray of knee, 3 views | 28 | $42 | $33 |
| 73030 | X-ray of shoulder, minimum of 2 views | 27 | $36 | $27 |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 24 | $508 | $404 |
| 73130 | X-ray of hand, minimum of 3 views | 24 | $38 | $28 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 24 | $58 | $44 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | MD069514L | PA |
| Orthopaedic Surgery Physician | 207X00000X | CL-0006605 | DE |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery Physician providers in Pennsylvania
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See all Orthopaedic 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.