MATTHEW SPELLMAN, MD
Urology Physician · SAINT LOUIS, MO
Individual Active NPI 1205810520
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 634 | 5,725 | $1,724,201 | $949,548 | $738,707 |
| 2023 | 784 | 9,552 | $1,129,899 | $499,293 | $379,023 |
| 2022 | 787 | 8,842 | $654,276 | $265,882 | $194,586 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 945 | $59 | $45 |
| 81003 | Automated urinalysis test | 493 | $2 | $2 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 351 | $122 | $78 |
| 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 | 343 | $16 | $11 |
| 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 | 257 | $45 | $35 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 108 | $59 | $45 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 77 | $224 | $160 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 76 | $87 | $48 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 71 | $10 | $8 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $159 | $101 |
| 74018 | X-ray of abdomen, 1 view | 39 | $28 | $21 |
| 76872 | Ultrasound scan of pelvic region through rectum | 34 | $129 | $96 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 2002031745 | MO |
| Urology Physician | 208800000X | 036-108257 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in Missouri
- NPI 1932226107
- NPI 1669822136
- NPI 1588682272
- NPI 1346943859
- NPI 1699188557
- NPI 1770003162
- NPI 1588225221
- NPI 1992721120
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.