HOLLIS TIDMORE, MD
Surgery Physician · HOUSTON, MO
Individual Active NPI 1962473975
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 142 | 396 | $141,889 | $42,707 | $34,441 |
| 2023 | 179 | 377 | $198,533 | $58,737 | $47,025 |
| 2022 | 179 | 413 | $201,076 | $65,923 | $50,352 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $157 | $119 |
| 82270 | Stool analysis for blood to screen for colon tumors | 47 | $4 | $4 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 43 | $47 | $38 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $90 | $73 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 30 | $79 | $63 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 27 | $85 | $63 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 25 | $120 | $88 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 22 | $165 | $138 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 14 | $165 | $165 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $168 | $168 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 2009005897 | MO |
| Vascular Surgery Physician | 2086S0129X | 2009005897 | MO | |
| Trauma Surgery Physician | 2086S0127X | 2009005897 | MO |
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.