MICHAEL BAIN, MD
Plastic Surgery Physician · NEWPORT BEACH, CA
Individual Active NPI 1316029341
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 539 | 6,259 | $1,357,144 | $839,357 | $659,277 |
| 2023 | 491 | 5,270 | $949,983 | $483,844 | $383,062 |
| 2022 | 539 | 5,376 | $962,569 | $488,310 | $383,977 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 886 | $69 | $53 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 884 | $61 | $47 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 834 | $88 | $68 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 772 | $46 | $37 |
| 99183 | Management of oxygen chamber therapy | 758 | $108 | $85 |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 313 | $226 | $176 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 153 | $138 | $104 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 145 | $159 | $122 |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 142 | $97 | $76 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 141 | $59 | $47 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 98 | $9 | $7 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 96 | $89 | $69 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ✓ | A88162 | CA |
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.