ERNESTO PINZON, MD

Nephrology Physician · SEBRING, FL

Individual Active NPI 1013950542

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20246989,676$1,027,934$654,947$511,244
20237389,219$1,123,337$679,711$527,218
202276012,040$1,242,467$705,244$552,183

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2,461$65$51
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month2,354$49$40
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1,056$93$66
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's887$17$14
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional711$57$46
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more525$132$95
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes236$124$100
99497Advance care planning, first 30 minutes151$86$85
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit133$135$135
90962Dialysis services, 1 physician visit per month (20 years or older)97$209$169
99495Transitional care management services for problem of at least moderate complexity80$212$162
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes79$180$146

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nephrology Physician207RN0300XME69730FL
Internal Medicine Physician207R00000XME69730FL

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.