JAMES SPITZ, MD
Colon & Rectal Surgery Physician · GLENVIEW, IL
Individual Active NPI 1992807903
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 332 | 667 | $417,750 | $131,461 | $102,454 |
| 2023 | 396 | 846 | $526,531 | $161,021 | $126,130 |
| 2022 | 382 | 752 | $514,812 | $146,085 | $114,591 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 72 | $102 | $74 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 68 | $139 | $95 |
| 46600 | Diagnostic exam of anus using an endoscope | 55 | $45 | $33 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 49 | $69 | $51 |
| 46221 | Removal of external hemorrhoids by rubber banding | 45 | $206 | $158 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $140 | $107 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 28 | $69 | $50 |
| 46600 | Diagnostic exam of anus using an endoscope | 27 | $44 | $34 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 26 | $101 | $81 |
| 46221 | Removal of external hemorrhoids by rubber banding | 22 | $206 | $159 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 18 | $87 | $70 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 16 | $37 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 036083406 | IL |
| Surgery Physician | 208600000X | 036083406 | IL |
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.