MATTHEW GEMBALA, M.D., M.P.H.
Nephrology Physician · FLAGSTAFF, AZ
Individual Active NPI 1114950185
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 441 | 1,257 | $333,972 | $161,790 | $116,709 |
| 2023 | 404 | 1,073 | $332,425 | $150,023 | $104,374 |
| 2022 | 472 | 1,301 | $358,578 | $171,269 | $125,046 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 618 | $173 | $124 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 77 | $212 | $139 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 75 | $107 | $86 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 61 | $125 | $84 |
| 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 | 27 | $16 | $12 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 20 | $287 | $219 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 20 | $330 | $236 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | $165 | $132 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 15 | $187 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 35737 | AZ |
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.