CARLOS DURHAM, M.D.
Pain Medicine (Anesthesiology) Physician · THE WOODLANDS, TX
Individual Active NPI 1689674418
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 96 | 464 | $233,791 | $47,666 | $37,857 |
| 2023 | 189 | 1,132 | $616,918 | $115,166 | $93,000 |
| 2022 | 237 | 1,465 | $999,329 | $146,777 | $119,933 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 115 | $123 | $98 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 85 | $87 | $69 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 70 | $173 | $138 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 70 | $7 | $6 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 24 | $117 | $93 |
| 20552 | Injection of trigger points, 1-2 muscles | 15 | $50 | $40 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 12 | $160 | $127 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ✓ | G5007 | TX |
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.