CRAIG NEMECHEK, MD
Surgery Physician · DAKOTA DUNES, SD
Individual Active NPI 1063508331
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 303 | 494 | $344,681 | $86,671 | $68,379 |
| 2023 | 268 | 476 | $348,768 | $86,814 | $69,497 |
| 2022 | 253 | 432 | $259,884 | $82,542 | $65,249 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 44 | $87 | $68 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 39 | $105 | $78 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 34 | $54 | $43 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 25 | $138 | $138 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 24 | $74 | $57 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 23 | $221 | $186 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $159 | $105 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | $60 | $46 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 | $45 | $36 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $105 | $61 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | $119 | $95 |
| 49505 | Repair of groin hernia (5 years or older) | 11 | $465 | $370 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 8107 | SD |
| Surgery Physician | 208600000X | MD-39504 | IA | |
| Surgery Physician | 208600000X | 26672 | NE |
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.