THEODROS MENGESHA, MD
Neurology Physician · MADISON, AL
Individual Active NPI 1184771909
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 959 | 4,373 | $1,208,705 | $671,545 | $514,644 |
| 2023 | 924 | 1,919 | $500,368 | $265,875 | $190,108 |
| 2022 | 875 | 1,775 | $444,274 | $248,333 | $174,314 |
Top procedures (2024)
| 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 | 1,140 | $118 | $81 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 185 | $203 | $149 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 169 | $163 | $124 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 113 | $406 | $320 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 109 | $113 | $89 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 95 | $52 | $38 |
| 96132 | Evaluation of neuropsychological test, first hour | 92 | $122 | $94 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 90 | $30 | $24 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 34 | $89 | $72 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | $75 | $56 |
| 95911 | Nerve conduction, 9-10 studies | 18 | $198 | $154 |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 16 | $241 | $191 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ✓ | 28347 | AL |
| Specialist | 174400000X | 28347 | AL |
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.