PAUL CALDWELL, MD
Sports Medicine (Orthopaedic Surgery) Physician · RICHMOND, VA
Individual Active NPI 1457304784
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 329 | 14,885 | $588,105 | $147,499 | $108,637 |
| 2023 | 345 | 1,457 | $628,618 | $161,236 | $121,774 |
| 2022 | 331 | 1,378 | $481,078 | $135,568 | $99,878 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 13,763 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 386 | $124 | $89 |
| 20610 | Aspiration and/or injection of fluid from large joint | 225 | $67 | $50 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 146 | $161 | $108 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 113 | $6 | $4 |
| 73221 | Mri scan of arm joint without contrast | 48 | $127 | $94 |
| 73721 | Mri scan of leg joint without contrast | 30 | $137 | $102 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 29 | $86 | $59 |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 17 | $146 | $116 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 16 | $161 | $128 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 13 | $1,022 | $814 |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 13 | $270 | $200 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 0101223871 | VA |
| Specialist | 174400000X | 0101223871 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 0101223871 | VA |
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.