THOMAS BORGSTEDTE, D.O.
Family Medicine Physician · LA GRANGE, TX
Individual Active NPI 1295877264
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 658 | 21,226 | $872,315 | $485,480 | $383,754 |
| 2023 | 635 | 10,084 | $462,897 | $276,415 | $218,383 |
| 2022 | 780 | 10,296 | $412,578 | $257,936 | $200,076 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,560 | $60 | $46 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,369 | $46 | $36 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 588 | $122 | $81 |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 536 | $69 | $55 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 406 | $18 | $18 |
| 99497 | Advance care planning, first 30 minutes | 397 | $79 | $76 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 388 | $87 | $55 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 371 | $124 | $124 |
| G0444 | Annual depression screening, 5 to 15 minutes | 364 | $18 | $18 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 277 | $128 | $99 |
| 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 | 235 | $16 | $12 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 216 | $71 | $56 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | L6226 | TX |
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.