JAMES GALLAGHER, M.D.
Surgical Critical Care Physician · MONROEVILLE, PA
Individual Active NPI 1770901431
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 155 | 297 | $134,427 | $41,812 | $33,583 |
| 2023 | 141 | 254 | $110,672 | $33,509 | $26,676 |
| 2022 | 25 | 32 | $14,244 | $4,696 | $3,741 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 62 | $77 | $62 |
| 99291 | Critical care, first 30-74 minutes | 59 | $208 | $167 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 40 | $48 | $39 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 35 | $128 | $102 |
| 99239 | Hospital discharge day management, more than 30 minutes | 19 | $111 | $89 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 16 | $160 | $128 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | ✓ | MD477655 | PA |
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.