JAMES MCLOUGHLIN, MD
Orthopaedic Surgery Physician · PANAMA CITY, FL
Individual Active NPI 1447248836
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 207 | 1,905 | $752,120 | $224,245 | $176,791 |
| 2023 | 229 | 2,307 | $847,527 | $255,629 | $197,304 |
| 2022 | 249 | 3,035 | $1,022,854 | $315,971 | $245,292 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 567 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 224 | $88 | $68 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 189 | $123 | $96 |
| 72114 | X-ray lower and sacral spine, minimum of 6 views | 58 | $57 | $45 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 56 | $170 | $133 |
| 72040 | X-ray of upper spine, 2-3 views | 38 | $37 | $30 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 38 | $37 | $29 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 37 | $217 | $157 |
| 63082 | Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment | 36 | $278 | $222 |
| 22854 | Insertion of cage or mesh device in disc space during spine fusion | 36 | $341 | $272 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 35 | $164 | $119 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 31 | $193 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | ME100011 | FL |
| Orthopaedic Surgery Physician | 207X00000X | 213565 | NY | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME100011 | FL | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 213565 | NY |
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.