THOMAS DOWNES, M.D.
Surgery Physician · BOAZ, AL
Individual Active NPI 1689725814
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 258 | 475 | $231,062 | $84,910 | $62,742 |
| 2023 | 269 | 528 | $248,664 | $101,870 | $77,990 |
| 2022 | 349 | 684 | $324,633 | $135,557 | $102,767 |
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 | 84 | $113 | $75 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 51 | $99 | $64 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 35 | $80 | $57 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 29 | $151 | $98 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | $157 | $119 |
| 47562 | Removal of gallbladder using an endoscope | 13 | $580 | $461 |
| 49505 | Repair of groin hernia (5 years or older) | 13 | $424 | $319 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 15086 | AL |
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.