MICHAEL GUSTAVEL, MD
Sports Medicine (Orthopaedic Surgery) Physician · BOISE, ID
Individual Active NPI 1306842182
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 194 | 3,252 | $406,944 | $116,174 | $85,919 |
| 2023 | 182 | 3,319 | $355,598 | $106,298 | $80,006 |
| 2022 | 177 | 2,518 | $341,867 | $102,448 | $76,959 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,285 | $1 | $1 |
| 20610 | Aspiration and/or injection of fluid from large joint | 164 | $62 | $46 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 159 | $83 | $58 |
| 73564 | X-ray of knee, 4 or more views | 78 | $43 | $28 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 60 | $101 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 59 | $117 | $81 |
| 27447 | Replacement of knee joint, both sides of knee | 28 | $1,162 | $905 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 26 | $52 | $33 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $154 | $106 |
| 73030 | X-ray of shoulder, minimum of 2 views | 16 | $31 | $20 |
| 73560 | X-ray of knee, 1-2 views | 12 | $31 | $24 |
| G0289 | Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee | 11 | $75 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | M8510 | ID |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Idaho
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See all Sports Medicine (Orthopaedic Surgery) Physician providers in Idaho →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.