JAMES HENRY, MD
Nephrology Physician · FORT SMITH, AR
Individual Active NPI 1912995713
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 319 | 2,516 | $309,157 | $143,458 | $111,048 |
| 2023 | 391 | 3,200 | $399,960 | $196,932 | $151,325 |
| 2022 | 404 | 2,646 | $430,596 | $213,227 | $165,006 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 305 | $82 | $57 |
| 36415 | Insertion of needle into vein for collection of blood sample | 206 | $9 | $9 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 195 | $71 | $56 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 106 | $277 | $222 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 105 | $114 | $77 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 86 | $184 | $148 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 70 | $44 | $35 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 63 | $8 | $8 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 51 | $6 | $6 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | $118 | $93 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 46 | $157 | $125 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 34 | $50 | $38 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | C6617 | AR |
| Nephrology Physician | 207RN0300X | 17047 | OK |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Arkansas
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- NPI 1114858339
- NPI 1255398939
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.