MARK JONES, MD
Pulmonary Disease Physician · NEWARK, DE
Individual Active NPI 1366492746
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 949 | 1,780 | $266,491 | $82,427 | $60,660 |
| 2023 | 2,138 | 5,676 | $528,576 | $130,560 | $97,191 |
| 2022 | 2,008 | 5,161 | $434,975 | $120,118 | $89,475 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94729 | Test to examine how well the lungs exchange gases | 302 | $9 | $6 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 265 | $10 | $7 |
| 94726 | Test to determine lung volumes using sensors | 258 | $11 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 163 | $94 | $73 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 146 | $64 | $41 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 112 | $127 | $101 |
| 94618 | Test for exercise-induced lung stress | 100 | $21 | $13 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | $77 | $61 |
| 94010 | Test to measure expiratory airflow and volume | 72 | $8 | $5 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 67 | $115 | $92 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 67 | $128 | $86 |
| 94621 | Test for exercise-induced heart and lung stress | 59 | $65 | $50 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | C10003276 | DE |
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.