DANIEL HIGGINS, MD
Urology Physician · NEENAH, WI
Individual Active NPI 1588607717
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 288 | 1,386 | $560,876 | $93,881 | $70,584 |
| 2023 | 267 | 2,956 | $777,377 | $120,460 | $92,169 |
| 2022 | 223 | 1,840 | $524,568 | $79,704 | $59,361 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 126 | $85 | $62 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 116 | $120 | $82 |
| 36415 | Insertion of needle into vein for collection of blood sample | 68 | $9 | $9 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 32 | $10 | $8 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 | $104 | $70 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 27 | $153 | $116 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 23 | $224 | $161 |
| 52332 | Insertion of stent in ureter using an endoscope | 12 | $123 | $98 |
| 76872 | Ultrasound scan of pelvic region through rectum | 11 | $131 | $104 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 42948 | WI |
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.