CARLOS PENAHERRERA OVIEDO, M.D.
Endocrinology, Diabetes & Metabolism Physician · DALTON, GA
Individual Active NPI 1093268138
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 406 | 2,297 | $247,563 | $99,797 | $75,107 |
| 2023 | 247 | 1,142 | $121,460 | $59,083 | $42,295 |
| 2022 | 231 | 1,095 | $115,771 | $56,651 | $41,087 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 543 | $17 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 486 | $122 | $89 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 388 | $3 | $3 |
| 83036 | Hemoglobin a1c level | 264 | $9 | $9 |
| 36415 | Insertion of needle into vein for collection of blood sample | 259 | $8 | $8 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 159 | $34 | $25 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 79 | $163 | $121 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 67 | $22 | $18 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 22 | $166 | $119 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 17 | $88 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 86955 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Endocrinology, Diabetes & Metabolism Physician providers in Georgia
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See all Endocrinology, Diabetes & Metabolism Physician providers in Georgia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.