CLARA HIGGINS, DO
Surgery Physician · LEWES, DE
Individual Active NPI 1487655866
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 116 | 290 | $103,275 | $40,049 | $31,142 |
| 2023 | 15 | 27 | $12,494 | $4,395 | $3,549 |
| 2022 | 63 | 150 | $39,877 | $16,570 | $11,733 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 48 | $78 | $63 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 35 | $129 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 26 | $91 | $70 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 26 | $49 | $39 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 21 | $111 | $73 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | $172 | $137 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | C20006485 | DE |
| Surgery Physician | 208600000X | 3108 | TN | |
| Surgery Physician | 208600000X | C2-0024243 | DE |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Delaware
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- NPI 1649265117
- NPI 1225915515
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.