JAMES JONES, MD
Radiation Oncology Physician · WAUKESHA, WI
Individual Active NPI 1851368641
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 169 | 1,474 | $1,384,401 | $128,469 | $100,365 |
| 2023 | 169 | 1,283 | $1,121,963 | $114,041 | $89,176 |
| 2022 | 181 | 1,414 | $1,011,486 | $116,026 | $90,184 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 318 | $42 | $33 |
| 77300 | Calculation of radiation therapy dose | 136 | $31 | $24 |
| 77334 | Design and construction of complex radiation treatment device | 128 | $57 | $45 |
| 77427 | Radiation treatment management, 5 treatment sessions | 88 | $178 | $140 |
| 77263 | Complex radiation therapy planning | 65 | $156 | $121 |
| 77427 | Radiation treatment management, 5 treatment sessions | 57 | $178 | $142 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 55 | $61 | $41 |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 39 | $77 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 37 | $123 | $95 |
| 77338 | Design and construction of radiation treatment device for high precision radiation therapy | 31 | $212 | $169 |
| 77301 | High precision radiation therapy planning | 31 | $395 | $303 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $61 | $41 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ✓ | 34417 | WI |
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.