JOHN PENDLETON, M.D.
Surgery Physician · ELIZABETHTOWN, KY
Individual Active NPI 1053638700
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 181 | 411 | $190,791 | $81,972 | $64,635 |
| 2023 | 238 | 534 | $239,728 | $102,178 | $80,377 |
| 2022 | 278 | 612 | $299,479 | $117,551 | $91,072 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 52 | $48 | $38 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 35 | $103 | $75 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 32 | $120 | $79 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 27 | $87 | $60 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 26 | $80 | $65 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 24 | $239 | $203 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 22 | $76 | $60 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 15 | $86 | $73 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 13 | $53 | $43 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 13 | $150 | $114 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 48925 | KY |
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.