THOMAS VAUGHAN, MD
Internal Medicine Physician · DALTON, MA
Individual Active NPI 1730275140
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,193 | 6,699 | $948,936 | $531,292 | $401,149 |
| 2023 | 1,180 | 7,529 | $777,811 | $549,695 | $435,993 |
| 2022 | 1,330 | 6,914 | $688,157 | $475,980 | $355,820 |
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 | 1,693 | $93 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,202 | $133 | $91 |
| 85610 | Blood test, clotting time | 645 | $4 | $4 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 582 | $25 | $17 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 462 | $136 | $136 |
| G0444 | Annual depression screening, 5 to 15 minutes | 455 | $20 | $20 |
| G0008 | Administration of influenza virus vaccine | 383 | $33 | $33 |
| 90653 | Influenza vaccine, inactivated | 363 | $82 | $82 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 105 | $57 | $37 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | 82 | $3 | $1 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 77 | $15 | $10 |
| 81002 | Urinalysis, manual test | 75 | $3 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 49734 | MA |
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.