JAMES BLANKENSHIP, M.D.
Interventional Cardiology Physician · ALBUQUERQUE, NM
Individual Active NPI 1386619575
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 188 | 410 | $224,984 | $52,062 | $40,834 |
| 2023 | 117 | 251 | $159,625 | $41,021 | $32,107 |
| 2022 | 162 | 365 | $182,721 | $58,785 | $46,268 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 64 | $12 | $9 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 40 | $75 | $55 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 40 | $221 | $176 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 34 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 28 | $93 | $69 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 22 | $138 | $110 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 17 | $8 | $6 |
| 93460 | Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 16 | $356 | $284 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 | $128 | $90 |
| 92978 | Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 15 | $90 | $72 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | $125 | $99 |
| 99238 | Hospital discharge day management, 30 minutes or less | 13 | $77 | $61 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ✓ | MD2020-0190 | NM |
| Cardiovascular Disease Physician | 207RC0000X | MD043231E | PA |
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.