JOSEPH SCALES, MD
Urology Physician · PLANO, TX
Individual Active NPI 1922449552
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 774 | 19,386 | $764,628 | $378,875 | $294,097 |
| 2023 | 725 | 20,032 | $678,555 | $313,516 | $241,226 |
| 2022 | 658 | 18,108 | $571,812 | $268,196 | $206,521 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 921 | $2 | $2 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 785 | $129 | $98 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 649 | $17 | $13 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 462 | $11 | $9 |
| 36415 | Insertion of needle into vein for collection of blood sample | 387 | $9 | $9 |
| 84153 | Psa (prostate specific antigen) measurement, total | 290 | $18 | $18 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 230 | $64 | $49 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 165 | $91 | $54 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 158 | $169 | $122 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 129 | $178 | $141 |
| 87086 | Bacterial colony count, urine | 84 | $8 | $8 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 81 | $239 | $184 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | R8476 | TX |
| Urology Physician | 208800000X | 58200 | MN |
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.