JAMES UPSHAW, M.D.
Internal Medicine Physician · MACON, GA
Individual Active NPI 1740252170
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 549 | 17,742 | $1,971,808 | $596,661 | $476,663 |
| 2023 | 578 | 19,540 | $2,225,644 | $658,840 | $532,873 |
| 2022 | 604 | 18,526 | $2,095,579 | $617,436 | $499,030 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1,598 | $45 | $34 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1,306 | $41 | $31 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,108 | $9 | $9 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 979 | $37 | $28 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 822 | $84 | $58 |
| 83036 | Hemoglobin a1c level | 735 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 634 | $8 | $8 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 601 | $8 | $8 |
| 84550 | Uric acid level, blood | 574 | $4 | $4 |
| 80053 | Blood test, comprehensive group of blood chemicals | 570 | $10 | $10 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 535 | $59 | $44 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 527 | $119 | $77 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 041985 | GA |
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.