JAMES WEISS, M.D.
Pulmonary Disease Physician · NEWPORT BEACH, CA
Individual Active NPI 1891759874
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 344 | 4,344 | $599,579 | $351,941 | $273,538 |
| 2023 | 301 | 5,482 | $631,854 | $342,034 | $258,571 |
| 2022 | 251 | 4,758 | $418,885 | $234,890 | $180,314 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 959 | $156 | $121 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 662 | $90 | $67 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 562 | $54 | $41 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 433 | $42 | $34 |
| 99437 | Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month | 352 | $63 | $46 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 251 | $55 | $43 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 215 | $15 | $11 |
| 36415 | Insertion of needle into vein for collection of blood sample | 159 | $9 | $9 |
| 99091 | Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days | 139 | $56 | $45 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 112 | $67 | $52 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 100 | $98 | $78 |
| 97750 | Test or measurement for functional capacity, each 15 minutes | 85 | $33 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | G52317 | CA |
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.