NICETO LOPEZ, MD
Hospitalist Physician · WALNUT CREEK, CA
Individual Active NPI 1003012931
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 171 | 5,874 | $1,229,417 | $545,955 | $409,734 |
| 2023 | 317 | 3,413 | $1,800,950 | $404,794 | $316,331 |
| 2022 | 409 | 3,955 | $2,102,775 | $408,217 | $328,940 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,885 | $106 | $78 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 2,610 | $73 | $56 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 120 | $177 | $132 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 99 | $150 | $112 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 68 | $80 | $59 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 40 | $128 | $92 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 14 | $29 | $21 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ✓ | A96421 | CA |
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.