CARLOS MERCADO, MD
Nephrology Physician · ST GEORGE, UT
Individual Active NPI 1366444051
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 532 | 1,960 | $601,573 | $210,584 | $160,343 |
| 2023 | 571 | 1,474 | $606,912 | $208,621 | $158,588 |
| 2022 | 576 | 1,495 | $630,851 | $225,898 | $170,486 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 548 | $16 | $12 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 370 | $121 | $84 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 263 | $100 | $71 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 153 | $111 | $89 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 140 | $353 | $285 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 114 | $73 | $52 |
| 90966 | Home dialysis services per month (20 years or older) | 107 | $293 | $237 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 48 | $165 | $129 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 32 | $209 | $162 |
| 96372 | Injection of drug or substance under skin or into muscle | 18 | $13 | $11 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 14 | $1 | $1 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 6787613-1205 | UT |
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.