RAPHAEL HIGGINBOTHAM, M.D.
Nephrology Physician · OPELOUSAS, LA
Individual Active NPI 1477507531
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 595 | 2,410 | $571,321 | $272,552 | $200,436 |
| 2023 | 654 | 2,147 | $559,397 | $317,494 | $242,284 |
| 2022 | 772 | 2,787 | $604,812 | $347,408 | $260,646 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 611 | $111 | $75 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 517 | $67 | $50 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 452 | $14 | $11 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 205 | $259 | $202 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 178 | $314 | $240 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 117 | $114 | $84 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 72 | $145 | $90 |
| 90966 | Home dialysis services per month (20 years or older) | 66 | $254 | $194 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 51 | $180 | $139 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 025644 | LA |
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.