JAMES PINGREE, MD
Neurological Surgery Physician · SALT LAKE CITY, UT
Individual Active NPI 1730249582
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 165 | 456 | $816,501 | $157,016 | $124,910 |
| 2023 | 182 | 495 | $734,417 | $228,917 | $181,223 |
| 2022 | 182 | 432 | $559,090 | $187,189 | $147,622 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 47 | $86 | $68 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | $124 | $99 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 38 | $233 | $186 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 28 | $121 | $96 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | $104 | $83 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $159 | $127 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | $164 | $124 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 19 | $1,059 | $843 |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 11 | $1,499 | $1,194 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ✓ | 344599-1205 | UT |
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.