JAMES PHARAOH, MD
Pulmonary Disease Physician · KNOXVILLE, TN
Individual Active NPI 1578535043
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 337 | 7,163 | $1,117,522 | $416,705 | $326,287 |
| 2023 | 360 | 4,778 | $703,936 | $266,710 | $207,884 |
| 2022 | 344 | 2,749 | $473,500 | $176,445 | $136,817 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0517 | Injection, benralizumab, 1 mg | 1,621 | $165 | $131 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 417 | $113 | $82 |
| 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 | 295 | $15 | $11 |
| 94010 | Test to measure expiratory airflow and volume | 140 | $23 | $18 |
| 71046 | X-ray of chest, 2 views | 135 | $29 | $22 |
| 94729 | Test to examine how well the lungs exchange gases | 103 | $48 | $37 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 97 | $38 | $29 |
| 96372 | Injection of drug or substance under skin or into muscle | 79 | $13 | $9 |
| 36415 | Insertion of needle into vein for collection of blood sample | 73 | $8 | $8 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 70 | $147 | $113 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 41 | $81 | $60 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 34 | $13 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 21434 | TN |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 21434 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in Tennessee →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.