ERNESTO PINZON, MD
Nephrology Physician · SEBRING, FL
Individual Active NPI 1013950542
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 698 | 9,676 | $1,027,934 | $654,947 | $511,244 |
| 2023 | 738 | 9,219 | $1,123,337 | $679,711 | $527,218 |
| 2022 | 760 | 12,040 | $1,242,467 | $705,244 | $552,183 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 2,461 | $65 | $51 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 2,354 | $49 | $40 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,056 | $93 | $66 |
| G2211 | Visit 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's | 887 | $17 | $14 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 711 | $57 | $46 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 525 | $132 | $95 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 236 | $124 | $100 |
| 99497 | Advance care planning, first 30 minutes | 151 | $86 | $85 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 133 | $135 | $135 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 97 | $209 | $169 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 80 | $212 | $162 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 79 | $180 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | ME69730 | FL |
| Internal Medicine Physician | 207R00000X | ME69730 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Florida
- NPI 1013955632
- NPI 1497700462
- NPI 1003147158
- NPI 1770216483
- NPI 1962052449
- NPI 1265571293
- NPI 1972866291
- NPI 1508096330
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.