JAMES VERLANIC, MD
Surgery Physician · HELENA, MT
Individual Active NPI 1346637287
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 236 | 459 | $267,197 | $106,294 | $80,980 |
| 2023 | 254 | 513 | $297,551 | $113,838 | $88,111 |
| 2022 | 193 | 412 | $224,842 | $88,712 | $69,232 |
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 | 54 | $95 | $67 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 49 | $64 | $47 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $131 | $87 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | $80 | $61 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 23 | $246 | $166 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | $169 | $132 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 17 | $184 | $142 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | $127 | $102 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 14 | $77 | $57 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 11 | $178 | $178 |
| 49650 | Repair of groin hernia using an endoscope | 11 | $411 | $328 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $116 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | MED-PHYS-LIC-87666 | MT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | NM |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Montana
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- NPI 1609171693
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.