ANDRE SPIGUEL, MD
Orthopaedic Surgery Physician · GAINESVILLE, FL
Individual Active NPI 1235386095
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 155 | 333 | $453,840 | $78,055 | $61,194 |
| 2023 | 147 | 308 | $395,618 | $75,544 | $58,130 |
| 2022 | 174 | 374 | $507,577 | $97,400 | $76,676 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 75 | $125 | $93 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 40 | $88 | $65 |
| 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 | 35 | $16 | $13 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 28 | $164 | $125 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | $128 | $102 |
| 20245 | Biopsy of deep bone | 14 | $210 | $167 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 12 | $176 | $128 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | ME116610 | FL |
| Orthopaedic Trauma Physician | 207XX0801X | 2012003507 | MO |
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.