ASHLEY POJEZNY, DO

Family Medicine Physician · BROKEN ARROW, OK

Individual Active Opted out of Medicare NPI 1174966048

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	103	172	$28,604	$12,644	$5,784
2023	224	618	$111,821	$47,071	$30,541
2022	154	561	$88,134	$38,013	$23,638

HCPCS	Description	Services	Avg allowed	Avg paid
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	$108	$35
83036	Hemoglobin a1c level	26	$10	$10
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	$55	$55

Specialty	Code	Primary	License	State
Family Medicine Physician	207Q00000X	✓	5613	OK

Opted out of Medicare (Family Practice), effective 2024-04-06 through 2028-04-06.

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