CRISANTO GUALBERTO, M.D.
General Practice Physician · VANDALIA, MO
Individual Active NPI 1043285398
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 230 | 1,815 | $89,985 | $79,229 | $52,984 |
| 2023 | 237 | 2,014 | $98,691 | $90,790 | $60,900 |
| 2022 | 270 | 2,054 | $101,693 | $93,897 | $63,325 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 811 | $49 | $29 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 475 | $63 | $46 |
| 36415 | Insertion of needle into vein for collection of blood sample | 125 | $9 | $9 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 119 | $0 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 48 | $4 | $4 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 41 | $15 | $15 |
| G0008 | Administration of influenza virus vaccine | 37 | $19 | $19 |
| 90662 | Influenza vaccine split virus, preservative free | 36 | $78 | $78 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 28 | $66 | $38 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 21 | $12 | $9 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | $70 | $55 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | R6651 | MO |
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.