JAMES WILBECK, MD
Nephrology Physician · FRANKLIN, TN
Individual Active NPI 1548317498
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 676 | 2,969 | $818,602 | $304,972 | $231,986 |
| 2023 | 651 | 2,518 | $781,276 | $293,469 | $220,802 |
| 2022 | 680 | 2,251 | $788,674 | $292,239 | $221,445 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 558 | $109 | $86 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 476 | $73 | $57 |
| 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 | 409 | $15 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 338 | $84 | $51 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 252 | $41 | $32 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 226 | $326 | $256 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 193 | $159 | $123 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 119 | $45 | $33 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 88 | $78 | $54 |
| 90966 | Home dialysis services per month (20 years or older) | 82 | $253 | $194 |
| 90945 | Dialysis procedure including 1 evaluation | 58 | $78 | $62 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 44 | $202 | $147 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 41915 | 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.