JAMES MADISON, DO
Nephrology Physician · TAHLEQUAH, OK
Individual Active NPI 1447231311
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 198 | 666 | $351,180 | $56,693 | $44,646 |
| 2023 | 212 | 633 | $341,030 | $56,906 | $44,612 |
| 2022 | 249 | 747 | $402,904 | $65,168 | $50,874 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 374 | $75 | $60 |
| 99238 | Hospital discharge day management, 30 minutes or less | 137 | $80 | $62 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 | $171 | $131 |
| 99235 | Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes | 26 | $157 | $123 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 12 | $117 | $93 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 4485 | OK |
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.