JAMES WHALEN, MD
MOHS-Micrographic Surgery Physician · CROMWELL, CT
Individual Active NPI 1780681064
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 451 | 1,747 | $1,167,586 | $501,484 | $387,067 |
| 2023 | 495 | 1,876 | $1,373,123 | $591,580 | $463,211 |
| 2022 | 553 | 1,958 | $1,608,472 | $682,018 | $532,311 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 386 | $59 | $44 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 344 | $709 | $549 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 154 | $248 | $184 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 140 | $116 | $80 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 128 | $436 | $347 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 111 | $171 | $136 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 60 | $95 | $73 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 57 | $125 | $100 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 47 | $672 | $518 |
| 12051 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 37 | $150 | $119 |
| 11603 | Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | 36 | $163 | $130 |
| 12042 | Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm | 32 | $194 | $147 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ✓ | 033745 | CT |
| Dermatology Physician | 207N00000X | 033745 | CT |
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.