MARLON NAVARRO, MD
Rheumatology Physician · EAU CLAIRE, WI
Individual Active NPI 1295822948
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 396 | 885 | $300,960 | $83,245 | $57,861 |
| 2023 | 477 | 1,051 | $362,033 | $103,598 | $74,110 |
| 2022 | 393 | 1,225 | $336,482 | $97,703 | $72,137 |
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 | 240 | $91 | $65 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 216 | $134 | $90 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 182 | $29 | $22 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 120 | $167 | $117 |
| 20610 | Aspiration and/or injection of fluid from large joint | 46 | $48 | $35 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 29 | $58 | $44 |
| 20605 | Aspiration and/or injection of fluid from medium joint | 19 | $35 | $17 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $123 | $63 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 43188 | WI |
| Internal Medicine Physician | 207R00000X | 43188 | WI |
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.