Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 8 | 200 | 280 | $55,218 | $16,802 |
| 2022 | 11 | 625 | 1,039 | $130,688 | $37,516 |
| 2021 | 15 | 922 | 1,210 | $149,161 | $51,114 |
| 2020 | 17 | 626 | 843 | $148,079 | $60,806 |
All Medicare Procedures & Services
51 procedure records from CMS Medicare Utilization — Page 1 of 3
| 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 | 47 | 81 | $12,150 | $4,828 | 39.7% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 28 | 28 | $13,369 | $3,517 | 26.3% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2023 | 53 | 54 | $10,476 | $3,269 | 31.2% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 16 | 26 | $5,986 | $2,332 | 39.0% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 13 | 13 | $4,639 | $1,274 | 27.5% |
| 93798 | Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services | Office | 2023 | 16 | 51 | $6,171 | $651.60 | 10.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 16 | 16 | $1,712 | $638.51 | 37.3% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 11 | 11 | $715.00 | $291.34 | 40.7% |
| 93798 | Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services | Office | 2022 | 68 | 405 | $49,005 | $6,781 | 13.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 77 | 96 | $10,272 | $6,260 | 60.9% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 112 | 139 | $9,035 | $5,081 | 56.2% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 65 | 65 | $9,815 | $4,991 | 50.8% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2022 | 16 | 25 | $10,475 | $3,717 | 35.5% |
| 94729 | Test to examine how well the lungs exchange gases | Office | 2022 | 83 | 85 | $8,478 | $3,422 | 40.4% |
| 94726 | Test to determine lung volumes using sensors | Office | 2022 | 77 | 79 | $8,019 | $3,003 | 37.5% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 18 | 34 | $4,862 | $1,771 | 36.4% |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | Office | 2022 | 66 | 66 | $14,664 | $1,712 | 11.7% |
| 94010 | Test to measure expiratory airflow and volume | Office | 2022 | 26 | 27 | $3,741 | $470.73 | 12.6% |
| 94762 | Test to measure oxygen level in blood using ear or finger device continuously overnight | Office | 2022 | 17 | 18 | $2,322 | $308.98 | 13.3% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 96 | 117 | $12,519 | $7,579 | 60.5% |
| 94729 | Measurement of lung diffusing capacity | Office | 2021 | 157 | 157 | $15,929 | $6,745 | 42.3% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Office | 2021 | 125 | 150 | $9,750 | $6,038 | 61.9% |
| 94726 | Determination of lung volumes using plethysmography | Office | 2021 | 154 | 154 | $15,784 | $5,890 | 37.3% |
| 93798 | Physician services for outpatient heart rehabilitation with continuous ekg monitoring per session | Office | 2021 | 45 | 260 | $31,460 | $5,060 | 16.1% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 42 | 42 | $6,342 | $3,562 | 56.2% |
About Dr. John Vallandigham, M.D
Dr. John Vallandigham, M.D is a Internal Medicine healthcare provider based in Chickasha, Oklahoma. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/22/2005. The National Provider Identifier (NPI) number assigned to this provider is 1265438501.
As a Medicare-enrolled provider, Vallandigham has provided services to 2,373 Medicare beneficiaries, totaling 3,372 services with total Medicare billing of $166,238. Data is available for 4 years (2020–2023), covering 51 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Location Chickasha, OK
- Active Since 06/22/2005
- Last Updated 07/21/2022
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1265438501
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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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