MICHAEL HIGGINS, M.D.
Orthopaedic Surgery Physician · HAMPTON, VA
Individual Active NPI 1760460570
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,005 | 15,063 | $1,640,465 | $495,875 | $374,337 |
| 2023 | 1,100 | 5,607 | $1,864,581 | $584,128 | $440,386 |
| 2022 | 1,111 | 9,806 | $1,939,048 | $676,434 | $516,536 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 11,401 | $0 | $0 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 681 | $87 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 529 | $122 | $88 |
| 73502 | X-ray of hip, 2-3 views | 368 | $45 | $32 |
| 73564 | X-ray of knee, 4 or more views | 313 | $45 | $33 |
| 20610 | Aspiration and/or injection of fluid from large joint | 190 | $65 | $48 |
| 73562 | X-ray of knee, 3 views | 160 | $40 | $28 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 154 | $161 | $113 |
| 27447 | Replacement of knee joint, both sides of knee | 104 | $1,165 | $927 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 96 | $107 | $75 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 87 | $6 | $4 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 74 | $1,194 | $952 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 0101237682 | VA |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 0101237682 | VA |
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.