JAMES SPOTO, DO
Facial Plastic Surgery Physician · GRAND RAPIDS, MI
Individual Active NPI 1457563959
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 274 | 655 | $550,006 | $57,524 | $42,807 |
| 2023 | 201 | 433 | $220,454 | $39,875 | $30,290 |
| 2022 | 167 | 397 | $268,816 | $35,885 | $26,851 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 155 | $61 | $46 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 88 | $76 | $53 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 84 | $63 | $49 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 53 | $91 | $66 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 34 | $168 | $115 |
| 69210 | Removal of impacted ear wax | 28 | $27 | $21 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 27 | $134 | $98 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 26 | $59 | $40 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 22 | $33 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | ✓ | 5101015501 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Facial Plastic Surgery Physician providers in Michigan
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See all Facial Plastic Surgery Physician providers in Michigan →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.