JAMES O'NEAL, MD
Otolaryngology Physician · CONROE, TX
Individual Active NPI 1376527218
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 822 | $189,539 | $73,177 | $52,959 |
| 2023 | 307 | 814 | $178,296 | $74,843 | $51,978 |
| 2022 | 360 | 948 | $205,269 | $92,772 | $66,139 |
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 | 306 | $87 | $61 |
| 69210 | Removal of impacted ear wax | 155 | $44 | $30 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 75 | $105 | $74 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 70 | $49 | $38 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 44 | $176 | $126 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 38 | $119 | $90 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 28 | $122 | $91 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $160 | $116 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | M1272 | 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.