npidexNPI registry + Medicare data

JAMES HOWARD, M.D.

General Practice Physician · ENCINITAS, CA

Individual Active NPI 1396940854

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242,12514,038$2,104,605$1,182,265$912,418
20231,7128,329$1,352,787$780,788$616,496
20225232,138$372,126$184,662$150,307

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow4,423$109$85
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1,396$57$44
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a978$45$35
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes935$130$98
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month752$66$52
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month641$51$40
98980Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month634$55$43
98977Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days585$55$43
G2211Visit 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's508$17$13
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more498$137$101
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes404$191$147
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more295$96$68

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Physician208D00000X✓A109689CA
Emergency Medicine Physician207P00000XA109689CA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other General Practice Physician providers in California

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.