Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 465 | 1,785 | $239,262 | $118,336 |
| 2022 | 5 | 453 | 1,731 | $229,837 | $107,635 |
| 2021 | 4 | 519 | 2,283 | $307,550 | $144,580 |
| 2020 | 4 | 545 | 1,861 | $299,549 | $121,230 |
All Medicare Procedures & Services
17 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 255 | 1,557 | $174,813 | $91,596 | 52.4% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 165 | 178 | $54,844 | $22,834 | 41.6% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 32 | 35 | $8,295 | $3,344 | 40.3% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 13 | 15 | $1,310 | $562.35 | 42.9% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 237 | 1,495 | $168,735 | $79,469 | 47.1% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 155 | 163 | $50,308 | $23,420 | 46.6% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 28 | 28 | $6,773 | $2,857 | 42.2% |
| 99309 | Follow-up nursing facility visit per day, typically 25 minutes | Facility | 2022 | 13 | 14 | $1,451 | $965.55 | 66.6% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 20 | 31 | $2,570 | $922.97 | 35.9% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 277 | 2,028 | $237,540 | $111,586 | 47.0% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 167 | 176 | $55,056 | $26,865 | 48.8% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 51 | 54 | $12,904 | $5,379 | 41.7% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2021 | 24 | 25 | $2,050 | $750.42 | 36.6% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 306 | 1,620 | $222,451 | $90,054 | 40.5% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 164 | 166 | $61,720 | $25,581 | 41.4% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2020 | 45 | 45 | $11,386 | $4,686 | 41.2% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2020 | 30 | 30 | $3,992 | $908.63 | 22.8% |
About Dr. James Thomas, MD
Dr. James Thomas, MD is a Infectious Disease healthcare provider based in Charleston, South Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/27/2005. The National Provider Identifier (NPI) number assigned to this provider is 1114923950.
As a Medicare-enrolled provider, Thomas has provided services to 1,982 Medicare beneficiaries, totaling 7,660 services with total Medicare billing of $491,780. Data is available for 4 years (2020–2023), covering 17 distinct procedure/service records.
Practice Information
- Specialty Infectious Disease
- Location Charleston, SC
- Active Since 06/27/2005
- Last Updated 05/27/2009
- Taxonomy Code 207RI0200X
- Entity Type Individual
- NPI Number 1114923950
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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.
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