JAMES DEMARCO, MD
Nephrology Physician · BRIDGEPORT, WV
Individual Active NPI 1619946936
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 245 | 1,556 | $453,045 | $143,201 | $111,581 |
| 2023 | 267 | 1,713 | $550,378 | $181,132 | $142,300 |
| 2022 | 379 | 2,737 | $836,501 | $258,658 | $203,303 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 534 | $45 | $35 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 207 | $262 | $206 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 167 | $71 | $56 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 154 | $80 | $58 |
| 90935 | Hemodialysis procedure with physician evaluation | 125 | $64 | $50 |
| 81002 | Urinalysis, manual test | 79 | $3 | $3 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 48 | $179 | $141 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | $118 | $93 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 38 | $107 | $84 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | $156 | $122 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $113 | $89 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $100 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | WV17202 | WV |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in West Virginia
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.