MARY IACULLI, D.O.
Sports Medicine (Family Medicine) Physician · PORTLAND, ME
Individual Active NPI 1407266778
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 114 | 6,985 | $160,549 | $65,156 | $47,698 |
| 2023 | 136 | 1,291 | $168,112 | $69,924 | $51,765 |
| 2022 | 139 | 1,070 | $118,008 | $53,638 | $38,101 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 6,040 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 168 | $124 | $89 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 105 | $93 | $68 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 49 | $89 | $64 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 35 | $159 | $115 |
| 20610 | Aspiration and/or injection of fluid from large joint | 20 | $64 | $48 |
| 73564 | X-ray of knee, 4 or more views | 19 | $36 | $24 |
| 73030 | X-ray of shoulder, minimum of 2 views | 14 | $26 | $18 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 13 | $10 | $6 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 12 | $6 | $4 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ✓ | DO2695 | ME |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Family Medicine) Physician providers in Maine
- NPI 1114213667
- NPI 1760483721
- NPI 1902291446
- NPI 1396739520
- NPI 1679662563
- NPI 1083848030
- NPI 1083824106
- NPI 1366731648
See all Sports Medicine (Family Medicine) Physician providers in Maine →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.