THOMAS JONES, MD
Hematology (Internal Medicine) Physician · LAFAYETTE, IN
Individual Active NPI 1629047196
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 261 | $60,678 | $27,541 | $20,308 |
| 2023 | 269 | 398 | $76,283 | $46,017 | $35,429 |
| 2022 | 117 | 181 | $41,986 | $21,792 | $17,031 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 52 | $149 | $101 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 44 | $110 | $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 | 37 | $17 | $13 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 30 | $80 | $57 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | $162 | $124 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | $74 | $59 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 14 | $185 | $142 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | $121 | $97 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 12 | $111 | $89 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 | $102 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | ✓ | 01030374A | IN |
| Internal Medicine Physician | 207R00000X | 01030374A | IN | |
| Medical Oncology Physician | 207RX0202X | MD205532 | OR | |
| Medical Oncology Physician | 207RX0202X | 01030374A | IN |
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.