KRISTIN MACDOUGALL, MD
Rheumatology Physician · SMITHTOWN, NY
Individual Active NPI 1093000325
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 849 | 136,157 | $3,535,093 | $1,791,480 | $1,411,601 |
| 2023 | 780 | 80,028 | $2,778,074 | $1,407,633 | $1,110,737 |
| 2022 | 593 | 36,877 | $1,791,682 | $933,936 | $735,562 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 70,000 | $5 | $4 |
| J3262 | Injection, tocilizumab, 1 mg | 22,320 | $6 | $5 |
| J0897 | Injection, denosumab, 1 mg | 8,460 | $26 | $20 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 8,001 | $12 | $9 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 7,750 | $43 | $34 |
| J9312 | Injection, rituximab, 10 mg | 2,100 | $70 | $56 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,530 | $31 | $25 |
| 36415 | Insertion of needle into vein for collection of blood sample | 816 | $9 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 712 | $103 | $73 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 568 | $145 | $105 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 491 | $84 | $67 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 487 | $18 | $14 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 278189 | NY |
| Internal Medicine Physician | 207R00000X | MD15327 | RI |
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.