JUSTIN SOMERVILLE, M.D.
Colon & Rectal Surgery Physician · COLUMBIA, MD
Individual Active NPI 1023016672
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 187 | 453 | $325,092 | $106,152 | $81,744 |
| 2023 | 213 | 516 | $298,584 | $140,029 | $109,945 |
| 2022 | 195 | 550 | $288,127 | $141,536 | $110,760 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 61 | $93 | $65 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 47 | $187 | $140 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 40 | $116 | $84 |
| 46600 | Diagnostic exam of anus using an endoscope | 33 | $123 | $84 |
| 46221 | Removal of external hemorrhoids by rubber banding | 32 | $299 | $226 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 30 | $131 | $102 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | $80 | $63 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | $176 | $137 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $174 | $137 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 16 | $229 | $171 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | D0062808 | MD |
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.