SUSAN OTERO, MD
General Practice Physician · WILMINGTON, DE
Individual Active NPI 1205997244
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 563 | 3,112 | $480,754 | $461,401 | $369,348 |
| 2023 | 654 | 3,812 | $561,218 | $529,043 | $418,273 |
| 2022 | 609 | 3,485 | $466,859 | $430,719 | $341,766 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,703 | $122 | $97 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 484 | $175 | $140 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 250 | $153 | $122 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 129 | $267 | $215 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 127 | $145 | $115 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 113 | $86 | $70 |
| 11044 | Removal of bone, 20.0 sq cm or less | 105 | $365 | $296 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 63 | $204 | $161 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 21 | $152 | $123 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | C1-0025325 | DE |
| Plastic Surgery Physician | 208200000X | MD14270 | DC |
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.