JOHN NELLIGAN, MD
Orthopaedic Surgery Physician · SONORA, CA
Individual Active NPI 1952491151
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 423 | 1,291 | $680,479 | $233,758 | $179,657 |
| 2023 | 362 | 1,174 | $519,553 | $200,613 | $155,117 |
| 2022 | 304 | 821 | $385,005 | $136,855 | $103,802 |
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 | 308 | $65 | $48 |
| 20610 | Aspiration and/or injection of fluid from large joint | 149 | $49 | $34 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 122 | $80 | $57 |
| 73502 | X-ray of hip, 2-3 views | 117 | $11 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 82 | $95 | $68 |
| 73562 | X-ray of knee, 3 views | 60 | $9 | $7 |
| 73564 | X-ray of knee, 4 or more views | 60 | $11 | $8 |
| 73030 | X-ray of shoulder, minimum of 2 views | 45 | $9 | $6 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 35 | $1,260 | $981 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 22 | $96 | $73 |
| 27447 | Replacement of knee joint, both sides of knee | 22 | $1,216 | $964 |
| 73560 | X-ray of knee, 1-2 views | 20 | $8 | $6 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | G52634 | CA |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD60171766 | WA |
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.