JAMES HORTON, M.D.
Endocrinology, Diabetes & Metabolism Physician · GREENVILLE, SC
Individual Active NPI 1750321998
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 544 | 1,585 | $211,896 | $121,455 | $85,744 |
| 2023 | 506 | 979 | $182,449 | $107,445 | $74,021 |
| 2022 | 533 | 1,019 | $191,538 | $113,027 | $78,776 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 531 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 501 | $120 | $84 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 186 | $84 | $56 |
| 76536 | Ultrasound scan of head and neck soft tissue | 169 | $100 | $68 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 73 | $157 | $117 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 41 | $104 | $73 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 29 | $33 | $25 |
| 83036 | Hemoglobin a1c level | 21 | $10 | $10 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 19 | $124 | $95 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 27039 | SC |
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.