CARLOS GIRON, M.D.
Interventional Pain Medicine Physician · MACON, GA
Individual Active NPI 1053392068
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 185 | 5,796 | $741,102 | $381,857 | $302,373 |
| 2023 | 152 | 1,257 | $437,675 | $88,762 | $69,743 |
| 2022 | 37 | 310 | $127,628 | $21,441 | $16,477 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,866 | $66 | $52 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 789 | $36 | $29 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 455 | $118 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 317 | $83 | $64 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 264 | $43 | $35 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 263 | $40 | $32 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 263 | $44 | $35 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 252 | $122 | $94 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 241 | $60 | $60 |
| 96130 | Evaluation of psychological test, first hour | 178 | $114 | $91 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 178 | $30 | $24 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 177 | $32 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ✓ | 041564 | GA |
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.