PAUL MARCOTTE, MD
Neurological Surgery Physician · PHILADELPHIA, PA
Individual Active NPI 1124064795
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 590 | 1,511 | $3,540,687 | $613,830 | $484,319 |
| 2023 | 628 | 1,714 | $4,247,426 | $768,551 | $610,163 |
| 2022 | 659 | 1,784 | $3,943,753 | $770,143 | $610,791 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 295 | $32 | $24 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 180 | $135 | $102 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 106 | $67 | $49 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 99 | $890 | $696 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 92 | $218 | $173 |
| 20937 | Harvest of bone fragment for spine bone graft | 70 | $170 | $136 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 56 | $82 | $59 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 54 | $263 | $210 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 48 | $764 | $610 |
| 22614 | Fusion of additional segment of spine | 46 | $397 | $317 |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | 44 | $1,818 | $1,453 |
| 22612 | Fusion of spine in lower back | 43 | $1,634 | $1,293 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ✓ | MD048924L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Neurological Surgery Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.