MICHAEL GUMA, D.O.
Rheumatology Physician · CLIFTON, NJ
Individual Active NPI 1376655407
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 325 | 21,138.9 | $2,146,789 | $668,374 | $517,390 |
| 2023 | 317 | 25,075.5 | $5,138,695 | $1,772,103 | $1,399,966 |
| 2022 | 343 | 24,032 | $2,203,855 | $893,921 | $697,833 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 5,550 | $43 | $34 |
| J0897 | Injection, denosumab, 1 mg | 1,860 | $26 | $21 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 1,493 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 623 | $131 | $91 |
| 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 | 550 | $16 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 165 | $93 | $65 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 108 | $66 | $47 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 89 | $7 | $5 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 69 | $125 | $90 |
| 20610 | Aspiration and/or injection of fluid from large joint | 63 | $81 | $57 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 56 | $178 | $129 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $170 | $119 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 25MB05563400 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Rheumatology Physician providers in New Jersey
- NPI 1093166597
- NPI 1376599563
- NPI 1730121799
- NPI 1154333979
- NPI 1447710645
- NPI 1912296278
- NPI 1417994633
- NPI 1487272043
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.