EDWARD JAMES, M.D.,
Hematology & Oncology Physician · PARK RIDGE, IL
Individual Active NPI 1548442007
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 264 | 1,647 | $441,398 | $171,046 | $133,606 |
| 2023 | 287 | 1,173 | $320,473 | $132,460 | $101,474 |
| 2022 | 222 | 937 | $250,324 | $112,106 | $84,890 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 466 | $146 | $114 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 305 | $99 | $75 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 274 | $121 | $96 |
| 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 | 212 | $16 | $13 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 90 | $32 | $26 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 84 | $176 | $140 |
| 36415 | Insertion of needle into vein for collection of blood sample | 60 | $6 | $6 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $68 | $49 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 45 | $190 | $146 |
| 99238 | Hospital discharge day management, 30 minutes or less | 14 | $83 | $66 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ✓ | 036123152 | 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.