JOHN GROUND, DO
Surgery Physician · PONCA CITY, OK
Individual Active NPI 1861840126
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 327 | 735 | $436,817 | $143,428 | $113,790 |
| 2023 | 259 | 612 | $449,468 | $140,517 | $108,381 |
| 2022 | 221 | 585 | $384,828 | $122,476 | $95,253 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 87 | $158 | $114 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 76 | $232 | $190 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 64 | $83 | $66 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 58 | $85 | $68 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 58 | $121 | $93 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 57 | $102 | $76 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 40 | $110 | $90 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | $120 | $96 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 14 | $163 | $117 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | $165 | $132 |
| 49650 | Repair of groin hernia using an endoscope | 11 | $502 | $400 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 11 | $173 | $173 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 7220 | OK |
| Family Medicine Physician | 207Q00000X | 7220 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.