JAMES THIELE, M.D.
Colon & Rectal Surgery Physician · SPRINGFIELD, IL
Individual Active NPI 1659465813
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 319 | 707 | $872,381 | $118,942 | $97,036 |
| 2023 | 349 | 575 | $907,064 | $120,303 | $97,811 |
| 2022 | 353 | 601 | $838,653 | $111,055 | $87,904 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 111 | $16 | $13 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 88 | $140 | $117 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 63 | $125 | $94 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 51 | $248 | $205 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 50 | $177 | $177 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 45 | $87 | $66 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 42 | $163 | $118 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 30 | $49 | $39 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $129 | $102 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 15 | $110 | $82 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $183 | $183 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 036-102649 | IL |
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.