JAMES WILSON, MD
Critical Care Medicine (Internal Medicine) Physician · PLANO, TX
Individual Active NPI 1841400520
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 487 | 1,699 | $1,039,344 | $154,272 | $119,666 |
| 2023 | 517 | 1,770 | $1,108,918 | $168,888 | $133,052 |
| 2022 | 617 | 2,085 | $1,351,320 | $196,025 | $154,293 |
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 | 297 | $112 | $88 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 249 | $74 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 130 | $121 | $88 |
| 99291 | Critical care, first 30-74 minutes | 123 | $199 | $154 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 116 | $86 | $63 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 98 | $43 | $34 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 95 | $46 | $35 |
| 94010 | Test to measure expiratory airflow and volume | 68 | $25 | $19 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 54 | $164 | $129 |
| 94729 | Test to examine how well the lungs exchange gases | 49 | $49 | $37 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | $119 | $93 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 46 | $34 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ✓ | M6464 | TX |
| Pulmonary Disease Physician | 207RP1001X | M6464 | TX |
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.