GARY SIRKEN, DO
Nephrology Physician · LANGHORNE, PA
Individual Active NPI 1164469334
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 603 | 3,006 | $709,082 | $341,359 | $265,220 |
| 2023 | 536 | 1,691 | $482,462 | $227,901 | $174,333 |
| 2022 | 539 | 1,757 | $526,742 | $258,499 | $200,995 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 764 | $80 | $64 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 419 | $131 | $95 |
| 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 | 357 | $17 | $13 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 332 | $8 | $7 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 252 | $342 | $271 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 169 | $120 | $96 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 164 | $176 | $140 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 138 | $65 | $52 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 90 | $50 | $40 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 68 | $274 | $214 |
| 90966 | Home dialysis services per month (20 years or older) | 61 | $277 | $215 |
| 90935 | Hemodialysis procedure with physician evaluation | 56 | $68 | $55 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | OS010180L | PA |
| Internal Medicine Physician | 207R00000X | OS010180L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Pennsylvania
- NPI 1407169675
- NPI 1952336182
- NPI 1073550257
- NPI 1023042355
- NPI 1457308314
- NPI 1609813880
- NPI 1255378428
- NPI 1851742423
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.