Dr. James Higgins, D.O

NPI: 1083708697
Total Payments
$7,892
2024 Payments
$181.68
Companies
32
Transactions
316
Medicare Patients
2,706
Medicare Billing
$380,914

Payment Breakdown by Category

Food & Beverage$7,852 (99.5%)
Education$39.97 (0.5%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $7,852 311 99.5%
Education $39.97 5 0.5%

Top Paying Companies

Company Total Records Latest Year
Novo Nordisk Inc $1,223 38 $0 (2023)
Boehringer Ingelheim Pharmaceuticals, Inc. $1,122 32 $0 (2023)
Janssen Pharmaceuticals, Inc $640.40 23 $0 (2023)
GlaxoSmithKline, LLC. $561.27 27 $0 (2023)
AstraZeneca Pharmaceuticals LP $555.10 29 $0 (2020)
Amarin Pharma Inc. $551.07 9 $0 (2019)
ABBVIE INC. $449.63 11 $0 (2022)
Allergan, Inc. $360.01 11 $0 (2020)
PFIZER INC. $339.77 25 $0 (2023)
Lilly USA, LLC $320.84 21 $0 (2023)

Payment History by Year

Year Amount Transactions Top Company
2024 $181.68 8 ABIOMED ($68.37)
2023 $772.68 34 GlaxoSmithKline, LLC. ($247.73)
2022 $471.75 26 ABBVIE INC. ($80.70)
2021 $309.53 20 Lilly USA, LLC ($57.75)
2020 $442.93 24 Boehringer Ingelheim Pharmaceuticals, Inc. ($127.92)
2019 $1,415 63 Boehringer Ingelheim Pharmaceuticals, Inc. ($245.37)
2018 $1,636 62 Amarin Pharma Inc. ($256.21)
2017 $2,662 79 Novo Nordisk Inc ($711.66)

All Payment Transactions

316 individual payment records from CMS Open Payments — Page 1 of 13

Date Company Product Nature Form Amount Type
10/23/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $25.83 General
Category: Cardiology/Vascular Diseases
10/02/2024 ABIOMED Impella (Device) Food and Beverage Cash or cash equivalent $42.54 General
Category: Cardiology/Vascular Diseases
09/19/2024 Philips North America LLC (CK4) MCOT (Device) Food and Beverage Cash or cash equivalent $20.06 General
Category: Medical Device
07/11/2024 Abbott Laboratories CARDIOMEMS (Device) Food and Beverage In-kind items and services $18.65 General
Category: Heart Failure
07/11/2024 Abbott Laboratories CARDIOMEMS (Device) Food and Beverage In-kind items and services $18.65 General
Category: Heart Failure
05/17/2024 Philips North America LLC (CK4) MCOT (Device) Food and Beverage Cash or cash equivalent $23.54 General
Category: Medical Device
02/07/2024 Salix Pharmaceuticals, a division of Bausch Health US, LLC XIFAXAN (Drug), TRULANCE Food and Beverage In-kind items and services $13.82 General
Category: Gastroenterology
01/10/2024 SHIELD THERAPEUTICS INC ACCRUFER (Drug) Food and Beverage In-kind items and services $18.59 General
Category: Hematology
12/21/2023 Abbott Laboratories CARDIOMEMS (Device) Food and Beverage In-kind items and services $20.34 General
Category: Heart Failure
12/21/2023 Abbott Laboratories CARDIOMEMS (Device) Food and Beverage In-kind items and services $20.34 General
Category: Heart Failure
12/15/2023 Abbott Laboratories AMPLATZER TALISMAN (Device) Food and Beverage In-kind items and services $24.40 General
Category: Structural Heart
12/06/2023 Boehringer Ingelheim Pharmaceuticals, Inc. OFEV, OFEV Food and Beverage In-kind items and services $19.59 General
11/29/2023 GlaxoSmithKline, LLC. TRELEGY ELLIPTA (Drug) Food and Beverage In-kind items and services $24.84 General
Category: RESPIRATORY
11/08/2023 Abbott Laboratories FREESTYLE LIBRE 3 (Device) Food and Beverage In-kind items and services $17.16 General
Category: Diabetes Care
09/20/2023 GlaxoSmithKline, LLC. TRELEGY ELLIPTA (Drug) Food and Beverage In-kind items and services $18.15 General
Category: RESPIRATORY
09/06/2023 Philips Electronics North America Corporation (5044) MCOT (Device) Food and Beverage Cash or cash equivalent $16.56 General
Category: Medical Device
08/17/2023 Janssen Pharmaceuticals, Inc XARELTO (Drug) Food and Beverage In-kind items and services $21.84 General
Category: Cardiovascular & Metabolism
08/09/2023 Amgen Inc. Otezla (Drug), Repatha Food and Beverage In-kind items and services $17.86 General
Category: Inflammation
07/26/2023 GlaxoSmithKline, LLC. TRELEGY ELLIPTA (Drug) Food and Beverage In-kind items and services $19.03 General
Category: RESPIRATORY
07/26/2023 Janssen Pharmaceuticals, Inc XARELTO (Drug) Food and Beverage In-kind items and services $17.45 General
Category: Cardiovascular & Metabolism
07/26/2023 GlaxoSmithKline, LLC. TRELEGY ELLIPTA (Drug) Food and Beverage In-kind items and services $1.20 General
Category: RESPIRATORY
07/19/2023 Shield Therapeutics Inc ACCRUFER (Drug) Food and Beverage In-kind items and services $14.22 General
Category: Hematology
06/20/2023 GlaxoSmithKline, LLC. TRELEGY ELLIPTA (Drug) Food and Beverage In-kind items and services $18.45 General
Category: RESPIRATORY
06/20/2023 PFIZER INC. PAXLOVID (Drug) Food and Beverage In-kind items and services $17.90 General
Category: INFECTIOUS DISEASES
06/20/2023 GlaxoSmithKline, LLC. TRELEGY ELLIPTA (Drug) Food and Beverage In-kind items and services $0.53 General
Category: RESPIRATORY

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 9 651 1,314 $320,116 $109,888
2022 10 718 1,229 $294,470 $101,601
2021 9 694 1,135 $270,716 $98,153
2020 7 643 1,053 $137,293 $71,271
Total Patients
2,706
Total Services
4,731
Medicare Billing
$380,914
Procedure Codes
35

All Medicare Procedures & Services

35 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 146 363 $117,975 $38,826 32.9%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 148 499 $112,275 $36,197 32.2%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2023 131 131 $44,933 $19,364 43.1%
99496 Transitional care management services for problem of high complexity Office 2023 16 18 $13,068 $4,473 34.2%
99497 Advance care planning, first 30 minutes Office 2023 47 47 $11,797 $4,313 36.6%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 20 64 $8,896 $3,315 37.3%
G0444 Annual depression screening, 5 to 15 minutes Office 2023 108 108 $5,940 $2,340 39.4%
96372 Injection of drug or substance under skin or into muscle Office 2023 19 65 $4,225 $836.68 19.8%
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report Office 2023 16 19 $1,007 $224.64 22.3%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 141 325 $105,625 $32,208 30.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 135 355 $79,875 $27,966 35.0%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2022 129 129 $44,247 $18,988 42.9%
99497 Advance care planning, first 30 minutes Office 2022 99 99 $24,849 $9,249 37.2%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2022 81 139 $19,321 $6,376 33.0%
99496 Transitional care management services for problem of high complexity Office 2022 12 14 $10,164 $3,762 37.0%
G0444 Annual depression screening, 15 minutes Office 2022 67 67 $3,685 $1,420 38.5%
96372 Injection of drug or substance under skin or into muscle Office 2022 30 75 $4,149 $924.54 22.3%
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and Office 2022 11 11 $1,760 $496.49 28.2%
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report Office 2022 13 15 $795.00 $210.49 26.5%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 134 333 $108,225 $37,627 34.8%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 104 291 $65,475 $22,126 33.8%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2021 120 120 $41,160 $18,851 45.8%
99497 Advance care planning by the physician or other qualified health care professional, first 30 minutes Office 2021 105 105 $26,355 $8,933 33.9%
99495 Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge Office 2021 17 19 $10,412 $3,657 35.1%
99212 Established patient outpatient visit, total time 10-19 minutes Office 2021 38 62 $8,618 $2,983 34.6%

About Dr. James Higgins, D.O

Dr. James Higgins, D.O is a Family Medicine healthcare provider based in East Islip, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/03/2006. The National Provider Identifier (NPI) number assigned to this provider is 1083708697.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. James Higgins, D.O has received a total of $7,892 in payments from pharmaceutical and medical device companies, with $181.68 received in 2024. These payments were reported across 316 transactions from 32 companies. The most common payment nature is "Food and Beverage" ($7,852).

As a Medicare-enrolled provider, Higgins has provided services to 2,706 Medicare beneficiaries, totaling 4,731 services with total Medicare billing of $380,914. Data is available for 4 years (2020–2023), covering 35 distinct procedure/service records.

Practice Information

  • Specialty Family Medicine
  • Location East Islip, NY
  • Active Since 10/03/2006
  • Last Updated 08/18/2010
  • Taxonomy Code 207Q00000X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1083708697

Products in Payments

  • Vascepa (Drug) $551.07
  • XARELTO (Drug) $509.72
  • JARDIANCE (Drug) $489.07
  • FARXIGA (Drug) $462.79
  • TRELEGY ELLIPTA (Drug) $327.34
  • SPIRIVA RESPIMAT (Drug) $300.22
  • Synthroid (Drug) $260.36
  • Victoza (Drug) $250.23
  • XIFAXAN (Drug) $231.04
  • Saxenda (Drug) $224.79
  • JANUVIA (Drug) $175.66
  • Xultophy 100/3.6 (Drug) $166.67
  • iPro2 (Device) $150.95
  • CHANTIX (Drug) $143.14
  • Livalo (Drug) $136.37
  • UBRELVY (Drug) $135.20
  • Wegovy (Drug) $132.72
  • INVOKANA (Drug) $124.66
  • AVYCAZ (Drug) $124.34
  • TOUJEO (Drug) $113.56

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Family Medicine Doctors in East Islip