JAMES SHAFFER, MD
Critical Care Medicine (Internal Medicine) Physician · COOKEVILLE, TN
Individual Active NPI 1801859368
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 341 | 1,028 | $246,537 | $94,171 | $73,565 |
| 2023 | 408 | 1,044 | $229,989 | $106,054 | $80,736 |
| 2022 | 526 | 1,308 | $279,485 | $136,681 | $108,712 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 233 | $108 | $84 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 123 | $117 | $91 |
| 99291 | Critical care, first 30-74 minutes | 123 | $186 | $148 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 65 | $120 | $92 |
| 94010 | Test to measure expiratory airflow and volume | 64 | $7 | $5 |
| 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 | 42 | $15 | $12 |
| 94729 | Test to examine how well the lungs exchange gases | 41 | $47 | $38 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 41 | $38 | $30 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 33 | $0 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 29 | $33 | $27 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 28 | $163 | $126 |
| 94729 | Test to examine how well the lungs exchange gases | 27 | $8 | $6 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ✓ | 67366 | TN |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME79932 | FL | |
| Pulmonary Disease Physician | 207RP1001X | 67366 | TN | |
| Pulmonary Disease Physician | 207RP1001X | ME79932 | FL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 67366 | TN | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME79932 | FL |
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.