JOHN MCCARTHY, MD
Urology Physician · O FALLON, MO
Individual Active NPI 1477662179
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 835 | 7,472 | $965,513 | $283,986 | $211,158 |
| 2023 | 847 | 7,948 | $1,061,730 | $450,156 | $343,018 |
| 2022 | 924 | 7,889 | $766,106 | $300,942 | $218,946 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,874 | $0 | $0 |
| 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 | 904 | $16 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 636 | $87 | $60 |
| 36415 | Insertion of needle into vein for collection of blood sample | 385 | $9 | $9 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 326 | $60 | $47 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 305 | $123 | $89 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 263 | $11 | $8 |
| 81003 | Automated urinalysis test | 191 | $2 | $2 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 137 | $60 | $47 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 101 | $0 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 82 | $46 | $36 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 81 | $226 | $170 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 106421 | MO |
| Urology Physician | 208800000X | 036107987 | IL |
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.