JAMES JEFFERY, CNP
Family Nurse Practitioner · SPEARFISH, SD
Individual Active NPI 1639628381
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 189 | 551 | $243,429 | $30,306 | $21,958 |
| 2023 | 266 | 582 | $262,607 | $35,408 | $26,550 |
| 2022 | 221 | 464 | $216,353 | $28,480 | $20,978 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 166 | $41 | $29 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 161 | $53 | $37 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 48 | $77 | $55 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 30 | $46 | $32 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 | $65 | $45 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $106 | $78 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 14 | $28 | $17 |
| 27447 | Replacement of knee joint, both sides of knee | 11 | $160 | $127 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ✓ | CP001128 | SD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.