JAMES FOX, M.D.
Interventional Pain Medicine Physician · KNOXVILLE, TN
Individual Active Opted out of Medicare NPI 1952393688
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 179 | 3,478 | $629,808 | $259,951 | $209,952 |
| 2023 | 183 | 2,582 | $482,907 | $190,910 | $155,544 |
| 2022 | 221 | 2,465 | $492,624 | $202,058 | $172,988 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 689 | $60 | $60 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 651 | $88 | $68 |
| 96130 | Evaluation of psychological test, first hour | 413 | $120 | $96 |
| 96132 | Evaluation of neuropsychological test, first hour | 413 | $127 | $99 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 412 | $32 | $26 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 392 | $34 | $27 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 193 | $121 | $78 |
| 96127 | Assessment of emotional or behavioral problems | 118 | $4 | $3 |
| G0444 | Annual depression screening, 5 to 15 minutes | 32 | $18 | $18 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 23 | $14 | $14 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ✓ | MD30702 | TN |
| Rehabilitation Practitioner | 225400000X | MD30702 | TN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Opted out of Medicare (Physical Medicine And Rehabilitation), effective 2026-04-01 through 2028-04-01.
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.