JAMES PORILE, MD
Nephrology Physician · MISHAWAKA, IN
Individual Active NPI 1922008796
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 580 | 2,051 | $588,825 | $282,133 | $210,211 |
| 2023 | 615 | 2,526 | $612,267 | $304,147 | $227,850 |
| 2022 | 653 | 2,615 | $595,478 | $317,201 | $234,263 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 481 | $73 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 306 | $85 | $49 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 263 | $337 | $265 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 177 | $109 | $86 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 155 | $75 | $46 |
| 90966 | Home dialysis services per month (20 years or older) | 120 | $279 | $215 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 109 | $114 | $67 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 85 | $159 | $122 |
| 90935 | Hemodialysis procedure with physician evaluation | 80 | $66 | $51 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | $120 | $94 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 38 | $155 | $108 |
| 99496 | Transitional care management services for problem of high complexity | 32 | $220 | $167 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 01041309A | IN |
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.