JOHN DURHAM, MD
Nephrology Physician · ORANGEBURG, SC
Individual Active NPI 1558396309
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 445 | 1,422 | $299,091 | $173,829 | $129,294 |
| 2023 | 441 | 1,163 | $228,999 | $136,606 | $100,786 |
| 2022 | 597 | 1,461 | $281,272 | $188,797 | $134,245 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 293 | $9 | $8 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 235 | $176 | $108 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 228 | $126 | $91 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 145 | $78 | $63 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 140 | $343 | $276 |
| 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 | 75 | $17 | $13 |
| 90966 | Home dialysis services per month (20 years or older) | 61 | $269 | $218 |
| 90935 | Hemodialysis procedure with physician evaluation | 41 | $71 | $58 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 23 | $98 | $70 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 22 | $119 | $96 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 22 | $5 | $5 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 20 | $10 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 24026 | SC |
| Specialist | 174400000X | 24026 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in South Carolina
- NPI 1578536116
- NPI 1275564965
- NPI 1356431449
- NPI 1356871925
- NPI 1457764912
- NPI 1477989606
- NPI 1134219223
- NPI 1629235700
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.