CHARLES FERNICOLA, M.D.
Urology Physician · MANAHAWKIN, NJ
Individual Active NPI 1063472694
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 847 | 5,622 | $1,164,212 | $345,718 | $259,126 |
| 2023 | 1,000 | 17,801 | $1,456,569 | $445,044 | $347,996 |
| 2022 | 1,418 | 35,374 | $2,271,928 | $734,708 | $555,203 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,503 | $26 | $21 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 822 | $98 | $64 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 291 | $138 | $106 |
| J3315 | Injection, triptorelin pamoate, 3.75 mg | 141 | $433 | $345 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 118 | $61 | $47 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 86 | $124 | $93 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 78 | $262 | $195 |
| 96372 | Injection of drug or substance under skin or into muscle | 61 | $15 | $11 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 54 | $181 | $137 |
| 50590 | Shock wave crushing of kidney stones | 30 | $621 | $491 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 30 | $12 | $9 |
| 51705 | Simple change of bladder tube | 28 | $106 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 25MA04460500 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in New Jersey
- NPI 1003964628
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- NPI 1235273848
- NPI 1861942393
- NPI 1003888934
- NPI 1932143633
- NPI 1407018575
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.