CODEY PEDERSEN, DO

Emergency Medicine Physician · FLAGSTAFF, AZ

Individual Active NPI 1306308218

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	261	408	$306,287	$46,917	$37,059

HCPCS	Description	Services	Avg allowed	Avg paid
99285	Emergency department visit with high level of medical decision making	182	$167	$132
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	117	$8	$6
99284	Emergency department visit with moderate level of medical decision making	46	$116	$90
99291	Critical care, first 30-74 minutes	22	$203	$162
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	$166	$132

Specialty	Code	Primary	License	State
Emergency Medicine Physician	207P00000X	✓	010550	AZ

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.