KRISTOFFER RYAN DE LARA, MD
Interventional Pain Medicine Physician · GERMANTOWN, MD
Individual Active NPI 1104109305
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 312 | 4,683 | $1,010,771 | $264,753 | $210,531 |
| 2023 | 281 | 10,600 | $1,065,116 | $291,559 | $232,781 |
| 2022 | 305 | 12,838 | $1,197,319 | $334,437 | $268,930 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 377 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 166 | $132 | $96 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 101 | $170 | $129 |
| 77002 | Fluoroscopic guidance for needle placement | 85 | $122 | $96 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 82 | $60 | $60 |
| 20610 | Aspiration and/or injection of fluid from large joint | 75 | $84 | $67 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 63 | $277 | $217 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 60 | $141 | $113 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 56 | $293 | $231 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 51 | $688 | $545 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 51 | $268 | $210 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 50 | $374 | $298 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ✓ | D0074724 | MD |
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.