MICHAEL PINCUS, D.O.
Rheumatology Physician · BURLINGTON, MA
Individual Active NPI 1376741785
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 384 | 1,001 | $351,016 | $101,364 | $73,755 |
| 2023 | 389 | 912 | $306,180 | $102,671 | $76,492 |
| 2022 | 385 | 903 | $269,210 | $97,265 | $70,393 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 414 | $103 | $74 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 186 | $140 | $100 |
| 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 | 109 | $18 | $14 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 83 | $155 | $118 |
| 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 | 53 | $18 | $14 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $142 | $96 |
| 20610 | Aspiration and/or injection of fluid from large joint | 23 | $50 | $37 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 21 | $200 | $158 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $185 | $138 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 243537 | MA |
| Internal Medicine Physician | 207R00000X | 243537 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Rheumatology Physician providers in Massachusetts
- NPI 1225121965
- NPI 1679009930
- NPI 1598171878
- NPI 1932385002
- NPI 1982040630
- NPI 1790047520
- NPI 1144311226
- NPI 1114024379
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.