JAMES HEERWAGEN, MD
Orthopaedic Surgery Physician · FLOWER MOUND, TX
Individual Active NPI 1952359788
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 528 | 13,646 | $2,058,127 | $463,477 | $353,072 |
| 2023 | 517 | 13,996.8 | $1,908,240 | $481,421 | $373,057 |
| 2022 | 492 | 19,037.5 | $1,662,789 | $498,209 | $385,059 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | 8,952 | $17 | $13 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,851 | $1 | $1 |
| 20610 | Aspiration and/or injection of fluid from large joint | 709 | $70 | $52 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 348 | $86 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 325 | $121 | $85 |
| 73564 | X-ray of knee, 4 or more views | 320 | $44 | $33 |
| 73560 | X-ray of knee, 1-2 views | 239 | $32 | $24 |
| 73502 | X-ray of hip, 2-3 views | 137 | $45 | $33 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 69 | $51 | $38 |
| 27447 | Replacement of knee joint, both sides of knee | 69 | $1,224 | $973 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 68 | $160 | $112 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 50 | $170 | $119 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | H0442 | TX |
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.