GENA GHEARING, M.D.
Epilepsy Physician · IOWA CITY, IA
Individual Active NPI 1154307114
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 242 | 650 | $368,796 | $62,750 | $46,767 |
| 2023 | 263 | 552 | $339,943 | $61,242 | $44,996 |
| 2022 | 316 | 639 | $376,673 | $71,992 | $53,847 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 169 | $29 | $23 |
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 167 | $189 | $147 |
| 95813 | Measurement of brain wave activity (eeg), 61-119 minutes | 55 | $78 | $59 |
| 95718 | Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional | 50 | $122 | $93 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 43 | $130 | $65 |
| 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 | 34 | $15 | $9 |
| 95938 | Placement of skin electrodes and measurement of stimulated sites on arms and legs | 24 | $42 | $33 |
| 95939 | Placement of skin electrodes and measurement of central motor stimulation in arms and legs | 23 | $108 | $86 |
| 99239 | Hospital discharge day management, more than 30 minutes | 13 | $105 | $84 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | ✓ | 334454 | NY |
| Neurology Physician | 2084N0400X | MD-43937 | IA | |
| Neurology Physician | 2084N0400X | MD431650 | PA | |
| Clinical Neurophysiology Physician | 2084N0600X | MD-43937 | IA | |
| Clinical Neurophysiology Physician | 2084N0600X | MD431650 | PA |
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.