PRASHANT JAMES, M.D.
Sleep Medicine (Internal Medicine) Physician · KNOXVILLE, TN
Individual Active NPI 1609250562
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 172 | 504 | $194,785 | $54,978 | $41,618 |
| 2023 | 116 | 288 | $112,165 | $29,018 | $22,294 |
| 2022 | 205 | 334 | $92,239 | $37,399 | $26,481 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 254 | $102 | $78 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 57 | $118 | $94 |
| 95810 | Sleep study in sleep lab (6 years or older) | 53 | $113 | $88 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 52 | $128 | $85 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 39 | $74 | $59 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 23 | $139 | $104 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 19 | $173 | $135 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ✓ | 66304 | TN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sleep Medicine (Internal Medicine) Physician providers in Tennessee
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See all Sleep Medicine (Internal Medicine) Physician providers in Tennessee →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.