EDITA EXTRA-MENDOZA, MD

Internal Medicine Physician · GREEN VALLEY, AZ

Individual Active NPI 1326023839

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202497217,822$1,134,964$586,400$492,035
20231,05917,879$1,156,418$581,252$491,019
202299018,881$1,165,471$555,125$468,400

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J0897Injection, denosumab, 1 mg2,520$26$20
36415Insertion of needle into vein for collection of blood sample1,655$9$9
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1,413$91$62
80061Blood test, lipids (cholesterol and triglycerides)972$13$13
84443Blood test, thyroid stimulating hormone (tsh)922$16$16
81001Manual urinalysis test with examination using microscope, automated868$3$3
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count855$8$8
80053Blood test, comprehensive group of blood chemicals851$10$10
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit763$132$132
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more503$56$36
87086Bacterial colony count, urine487$8$8
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more461$128$87

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Internal Medicine Physician207R00000X24412AZ

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.