ERIC ORTH, DO
Endocrinology, Diabetes & Metabolism Physician · BLOOMINGTON, IN
Individual Active NPI 1255398202
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 430 | 991 | $159,288 | $89,805 | $64,543 |
| 2023 | 437 | 8,058 | $236,709 | $178,900 | $134,324 |
| 2022 | 469 | 13,357 | $356,759 | $295,722 | $223,866 |
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 | 422 | $118 | $85 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 196 | $32 | $24 |
| 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 | 141 | $15 | $12 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 101 | $155 | $107 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 40 | $84 | $60 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 35 | $164 | $118 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 15 | $204 | $162 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 14 | $123 | $98 |
| 76536 | Ultrasound scan of head and neck soft tissue | 13 | $101 | $68 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 02003057A | IN |
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.