JOHN MICHALAK, M.D.
Urology Physician · PINEHURST, NC
Individual Active NPI 1295174928
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 815 | 9,809 | $2,728,755 | $571,517 | $437,090 |
| 2023 | 836 | 11,790 | $3,090,506 | $709,253 | $547,363 |
| 2022 | 820 | 9,874 | $2,619,770 | $726,805 | $564,042 |
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 | 789 | $120 | $86 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 644 | $10 | $8 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 498 | $3 | $3 |
| 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 | 438 | $16 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 366 | $85 | $63 |
| 81003 | Automated urinalysis test | 307 | $2 | $2 |
| 74018 | X-ray of abdomen, 1 view | 285 | $28 | $21 |
| 36415 | Insertion of needle into vein for collection of blood sample | 247 | $9 | $9 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 222 | $178 | $141 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 215 | $35 | $27 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 201 | $26 | $20 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 189 | $217 | $164 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 2018-00235 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in North Carolina
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.