LUKE WIDSTROM, D.O.
Sports Medicine (Family Medicine) Physician · DULUTH, MN
Individual Active NPI 1366886053
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 277 | 1,052 | $243,761 | $60,749 | $43,513 |
| 2023 | 263 | 926 | $184,472 | $53,513 | $39,309 |
| 2022 | 258 | 886 | $187,264 | $54,248 | $39,275 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 186 | $1 | $1 |
| 20610 | Aspiration and/or injection of fluid from large joint | 160 | $47 | $34 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 117 | $92 | $65 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 89 | $62 | $44 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 72 | $124 | $86 |
| 20610 | Aspiration and/or injection of fluid from large joint | 66 | $70 | $51 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 33 | $123 | $84 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 30 | $161 | $116 |
| 20550 | Injection into tendon or ligament | 25 | $25 | $19 |
| 20600 | Aspiration and/or injection of fluid from small joint | 25 | $27 | $20 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 18 | $88 | $65 |
| 73564 | X-ray of knee, 4 or more views | 16 | $36 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ✓ | 58494 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | TL.0006261 | CO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Family Medicine) Physician providers in Minnesota
- NPI 1730124678
- NPI 1750465985
- NPI 1770997884
- NPI 1972539955
- NPI 1841228301
- NPI 1245598275
- NPI 1588610992
- NPI 1376832345
See all Sports Medicine (Family Medicine) Physician providers in Minnesota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.