JOHN VALENTINE
Surgery Physician · HENDERSONVILLE, TN
Individual Active NPI 1437178787
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 241 | 494 | $236,913 | $82,136 | $62,977 |
| 2023 | 239 | 493 | $356,852 | $88,242 | $66,564 |
| 2022 | 255 | 601 | $517,990 | $111,897 | $84,716 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 114 | $100 | $61 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 66 | $83 | $59 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 44 | $73 | $58 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 28 | $120 | $95 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 26 | $112 | $92 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 23 | $223 | $176 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $153 | $120 |
| 49650 | Repair of groin hernia using an endoscope | 19 | $436 | $348 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $87 | $62 |
| 47562 | Removal of gallbladder using an endoscope | 12 | $588 | $469 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 11 | $118 | $94 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 11 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 42430 | TN |
| Surgery Physician | 208600000X | 27697 | SC |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.