JAMES PAUL, D.D.S., M.S., M.D.
Plastic Surgery Physician · DAVENPORT, IA
Individual Active NPI 1467431213
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 178 | 644 | $513,849 | $84,678 | $65,332 |
| 2023 | 136 | 493 | $406,187 | $63,516 | $48,169 |
| 2022 | 177 | 555 | $542,209 | $84,260 | $63,622 |
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 | 163 | $82 | $63 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 55 | $102 | $70 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 40 | $154 | $111 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 27 | $97 | $74 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 26 | $112 | $86 |
| 11643 | Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm | 25 | $168 | $134 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 24 | $101 | $80 |
| 12051 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 20 | $88 | $70 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 19 | $21 | $17 |
| 11606 | Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm | 11 | $270 | $215 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ✓ | 33897 | IA |
| Specialist | 174400000X | 33897 | IA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 33897 | IA |
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.