JAMES SHUMAKE, D.O.
Emergency Medical Services (Emergency Medicine) Physician · PITTSFIELD, IL
Individual Active NPI 1891914826
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 171 | 319 | $75,152 | $22,419 | $16,802 |
| 2023 | 41 | 58 | $12,710 | $4,355 | $3,470 |
| 2022 | 19 | 23 | $7,965 | $2,122 | $1,646 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 77 | $8 | $6 |
| 99284 | Emergency department visit with moderate level of medical decision making | 75 | $111 | $82 |
| 99283 | Emergency department visit with low level of medical decision making | 45 | $65 | $48 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | $120 | $91 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | $46 | $30 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | $72 | $58 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 13 | $75 | $60 |
| 99285 | Emergency department visit with high level of medical decision making | 13 | $160 | $122 |
| 99282 | Emergency department visit with straightforward medical decision making | 11 | $36 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | ✓ | 36071380 | IL |
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.