JAMES HIGGINS, M.D.
Cardiovascular Disease Physician · ENCINO, CA
Individual Active NPI 1982781191
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 781 | 4,429 | $3,119,141 | $531,616 | $418,391 |
| 2023 | 799 | 4,333 | $2,962,004 | $526,972 | $414,396 |
| 2022 | 769 | 4,966 | $3,398,367 | $557,025 | $438,517 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 2,641 | $123 | $98 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 399 | $138 | $101 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 338 | $71 | $56 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 328 | $179 | $143 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 185 | $81 | $65 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 120 | $16 | $12 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 63 | $222 | $177 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 49 | $134 | $102 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 36 | $97 | $74 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $179 | $136 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 31 | $12 | $10 |
| 93244 | Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 29 | $24 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | A88417 | CA |
| Internal Medicine Physician | 207R00000X | BH8942814 | CA | |
| Interventional Cardiology Physician | 207RI0011X | A88417 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Cardiovascular Disease Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.