JOSE AGUSTI, M.D.
Internal Medicine Physician · WINFIELD, IN
Individual Active NPI 1033192604
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 399 | 3,906 | $251,579 | $239,582 | $182,669 |
| 2023 | 449 | 3,613 | $458,987 | $289,297 | $219,224 |
| 2022 | 475 | 4,556 | $658,493 | $399,095 | $308,544 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 764 | $114 | $87 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 550 | $0 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 412 | $56 | $45 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 358 | $69 | $49 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 346 | $38 | $27 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 220 | $0 | $0 |
| 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 | 208 | $43 | $34 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 108 | $48 | $34 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 76 | $75 | $56 |
| 96372 | Injection of drug or substance under skin or into muscle | 59 | $13 | $10 |
| 99497 | Advance care planning, first 30 minutes | 59 | $75 | $52 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 49 | $167 | $132 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 01061624A | IN |
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.