ANDREW DUARTE, MD
Physical Medicine & Rehabilitation Physician · WORCESTER, MA
Individual Active NPI 1396270526
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 314 | 1,376 | $821,470 | $114,271 | $86,917 |
| 2023 | 256 | 1,114 | $735,019 | $99,190 | $76,577 |
| 2022 | 90 | 251 | $135,187 | $21,774 | $17,298 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 237 | $65 | $49 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 185 | $97 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 101 | $132 | $99 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 86 | $57 | $43 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 79 | $64 | $47 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 63 | $81 | $61 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 57 | $139 | $106 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 50 | $114 | $91 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 49 | $64 | $51 |
| 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 | 46 | $16 | $13 |
| 76942 | Ultrasonic guidance for needle placement | 33 | $30 | $23 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 30 | $92 | $71 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ✓ | 292090 | MA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | CT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Physical Medicine & Rehabilitation Physician providers in Massachusetts
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See all Physical Medicine & Rehabilitation Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.