npidexNPI registry + Medicare data

CLEMENCE SULLIVAN, M.D.

Internal Medicine Physician · SAINT LOUIS PARK, MN

Individual Active NPI 1225354681

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202498550$109,662$34,469$29,525
2023114615$107,490$38,524$33,033
2022112646$96,987$35,169$29,989

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
36415Insertion of needle into vein for collection of blood sample113$9$9
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more62$87$55
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more59$124$84
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit53$126$126
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count42$8$8
91320Sarscv2 vac 30mcg trs-suc im28$140$140
90480Admn sarscov2 vacc 1 dose28$42$42
G0008Administration of influenza virus vaccine23$30$30
90653Influenza vaccine, inactivated19$82$82

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Internal Medicine Physician207R00000X✓58690MN
Student in an Organized Health Care Education/Training Program390200000X——
Pediatrics Physician208000000X58690MN

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.