JOHN LACY, MD
Urology Physician · KNOXVILLE, TN
Individual Active NPI 1538487939
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,069 | 7,258 | $1,049,869 | $409,501 | $303,808 |
| 2023 | 1,099 | 9,113 | $1,382,043 | $527,892 | $394,997 |
| 2022 | 953 | 8,037 | $1,148,167 | $391,180 | $289,052 |
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 | 1,215 | $117 | $82 |
| 81002 | Urinalysis, manual test | 1,032 | $3 | $3 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 912 | $10 | $7 |
| 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 | 523 | $15 | $11 |
| 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 | 378 | $57 | $44 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 273 | $58 | $46 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 216 | $153 | $109 |
| 81003 | Automated urinalysis test | 167 | $2 | $2 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 159 | $212 | $159 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 125 | $82 | $61 |
| 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 | 101 | $44 | $35 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 68 | $0 | $0 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 54136 | TN |
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.