GUSTAVO LAMELA DOMENECH, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician · EAST LANSING, MI

Individual Active NPI 1154897924

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	136	1,417	$68,579	$32,567	$25,637
2023	48	69	$13,076	$7,007	$5,583

HCPCS	Description	Services	Avg allowed	Avg paid
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	$75	$60
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	$161	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	$110	$88
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	32	$40	$32
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	$106	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	18	$86	$69
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	$159	$126
95909	Nerve conduction, 5-6 studies	13	$74	$59

Specialty	Code	Primary	License	State
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X	✓	24112	PR
Student in an Organized Health Care Education/Training Program	390200000X		—	—
Physical Medicine & Rehabilitation Physician	208100000X		24112	PR
Student in an Organized Health Care Education/Training Program	390200000X		—	PR

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