DOMINIC JACOBELLI, MD
Sports Medicine (Orthopaedic Surgery) Physician · ROGERS, AR
Individual Active NPI 1154601805
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 695 | 10,448 | $557,629 | $225,721 | $162,370 |
| 2023 | 710 | 9,779 | $531,048 | $223,260 | $162,424 |
| 2022 | 709 | 7,413 | $429,331 | $196,940 | $141,963 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 4,384 | $1 | $1 |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 3,392 | $9 | $7 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 586 | $81 | $59 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 506 | $95 | $68 |
| 20610 | Aspiration and/or injection of fluid from large joint | 343 | $66 | $47 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 224 | $98 | $67 |
| 73562 | X-ray of knee, 3 views | 157 | $27 | $19 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 106 | $115 | $76 |
| 73030 | X-ray of shoulder, minimum of 2 views | 99 | $22 | $16 |
| 73502 | X-ray of hip, 2-3 views | 65 | $31 | $22 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 49 | $145 | $101 |
| 20606 | Aspiration and/or injection of fluid from medium joint using ultrasound guidance | 40 | $86 | $64 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | E-11530 | AR |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Arkansas
- NPI 1124504030
- NPI 1548389455
- NPI 1093209090
- NPI 1528046786
- NPI 1124012000
- NPI 1730601451
- NPI 1063483055
- NPI 1295776037
See all Sports Medicine (Orthopaedic Surgery) Physician providers in Arkansas →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.