MARGARET ENGLAND, MD
Endocrinology, Diabetes & Metabolism Physician · SANTA MARIA, CA
Individual Active NPI 1225146426
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 263 | 1,511 | $309,325 | $128,568 | $102,288 |
| 2023 | 288 | 769 | $209,375 | $116,407 | $89,643 |
| 2022 | 322 | 1,093 | $312,008 | $181,901 | $136,447 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 307 | $189 | $150 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 296 | $41 | $33 |
| 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 | 236 | $50 | $40 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 146 | $52 | $42 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 137 | $135 | $107 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 134 | $65 | $52 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 98 | $35 | $28 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 84 | $54 | $43 |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 57 | $22 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | G048443 | CA |
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.