JAMES ANTHONY, MD
Pulmonary Disease Physician · VALPARAISO, IN
Individual Active NPI 1639356025
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 661 | 2,881 | $687,348 | $276,261 | $214,517 |
| 2023 | 681 | 2,615 | $598,457 | $249,282 | $193,398 |
| 2022 | 582 | 2,207 | $439,176 | $174,477 | $136,281 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 922 | $73 | $57 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 596 | $110 | $87 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 271 | $120 | $91 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 152 | $85 | $63 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 137 | $160 | $122 |
| 99291 | Critical care, first 30-74 minutes | 93 | $195 | $150 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 92 | $9 | $7 |
| 94729 | Test to examine how well the lungs exchange gases | 92 | $8 | $6 |
| 94726 | Test to determine lung volumes using sensors | 63 | $11 | $8 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 40 | $156 | $112 |
| 99239 | Hospital discharge day management, more than 30 minutes | 37 | $106 | $85 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 29 | $11 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 01071016A | IN |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036.125048 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01071016A | IN | |
| Internal Medicine Physician | 207R00000X | 01071016A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 036.125048 | IL | |
| Internal Medicine Physician | 207R00000X | 036.125048 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Indiana
- NPI 1972675189
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- NPI 1134430564
- NPI 1598995086
- NPI 1245660257
- NPI 1417927039
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.