MARK MIEDEMA, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician · FAYETTEVILLE, AR

Individual Active NPI 1205063211

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	885	6,013	$2,254,718	$382,569	$287,792
2023	864	4,453	$2,256,022	$386,666	$292,648
2022	796	3,626	$1,832,462	$363,735	$276,427

HCPCS	Description	Services	Avg allowed	Avg paid
J1010	Injection, methylprednisolone acetate, 1 mg	742	$0	$0
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	548	$123	$93
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	443	$80	$61
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	$111	$78
64484	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	265	$46	$36
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	225	$148	$107
72148	Mri scan of lower spinal canal without contrast	202	$104	$76
64636	Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint	151	$54	$43
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	148	$11	$9
72110	X-ray of lower and sacral spine, minimum of 4 views	143	$40	$29
64493	Injection of lower or sacral spine facet joint using imaging guidance, single level	134	$111	$87
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	129	$199	$157

Specialty	Code	Primary	License	State
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X	✓	E-9691	AR
Physical Medicine & Rehabilitation Physician	208100000X		E-9691	AR
Family Medicine Physician	207Q00000X		13487	FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X		49437	CO

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