ELENA GONZALEZ CALDITO, MD

Dermatology Physician · SHREVEPORT, LA

Individual Active NPI 1114403623

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	21	63	$9,864	$3,914	$3,119

HCPCS	Description	Services	Avg allowed	Avg paid
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	$125	$100

Specialty	Code	Primary	License	State
Dermatology Physician	207N00000X	✓	343053	LA
Internal Medicine Physician	207R00000X		343053	LA

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.