ANDREW PELLATT, MD

Internal Medicine Physician · SALT LAKE CITY, UT

Individual Active NPI 1376031252

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	19	91	$19,692	$7,706	$5,955

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	29	$16	$13
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	$151	$115

Specialty	Code	Primary	License	State
Internal Medicine Physician	207R00000X	✓	T5001	TX
Hematology & Oncology Physician	207RH0003X		13694985-1205	UT

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.