ROBERT GAINES, MD
Orthopaedic Trauma Physician · LUBBOCK, TX
Individual Active NPI 1710948815
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 333 | 2,920 | $927,205 | $269,630 | $209,849 |
| 2023 | 363 | 2,699 | $1,032,876 | $296,459 | $231,725 |
| 2022 | 336 | 1,786 | $835,763 | $252,828 | $198,630 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1,120 | $17 | $14 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 454 | $1 | $1 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 224 | $54 | $37 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 85 | $124 | $98 |
| 73502 | X-ray of hip, 2-3 views | 73 | $45 | $32 |
| 20610 | Aspiration and/or injection of fluid from large joint | 67 | $70 | $52 |
| 73552 | X-ray of thigh bone, minimum 2 views | 62 | $33 | $21 |
| 73560 | X-ray of knee, 1-2 views | 54 | $32 | $21 |
| 73030 | X-ray of shoulder, minimum of 2 views | 54 | $33 | $23 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 44 | $79 | $60 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 39 | $87 | $62 |
| 73610 | X-ray of ankle, minimum of 3 views | 37 | $34 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | ✓ | F4038 | TX |
| Orthopaedic Surgery Physician | 207X00000X | 0101232423 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Trauma Physician providers in Texas
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- NPI 1114111473
- NPI 1124413646
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.