JAMES WHARTON, MD
Dermatology Physician · LEXINGTON, KY
Individual Active NPI 1386619203
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,113 | 10,622 | $2,639,672 | $1,204,445 | $929,893 |
| 2023 | 1,158 | 11,784 | $2,703,886 | $1,255,549 | $969,865 |
| 2022 | 1,138 | 11,001 | $2,445,573 | $1,133,980 | $873,419 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3245 | Injection, tildrakizumab, 1 mg | 4,701 | $132 | $105 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,572 | $6 | $4 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 859 | $84 | $54 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 753 | $37 | $27 |
| 17000 | Destruction of precancer skin growth, 1 growth | 503 | $48 | $34 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 306 | $563 | $439 |
| 11102 | Biopsy of related skin growth, first growth | 303 | $81 | $58 |
| 17110 | Destruction of skin growth, 1-14 growths | 211 | $95 | $69 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 200 | $365 | $291 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 119 | $144 | $115 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 113 | $52 | $37 |
| 11103 | Biopsy of related skin growth, each additional growth | 104 | $45 | $32 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ✓ | 50543 | KY |
| Dermatopathology Physician | 207ND0900X | 40543 | KY | |
| Dermatopathology Physician | 207ND0900X | E0888 | AR |
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.