WALTER DOWNEY, MD
Family Medicine Physician · OSSEO, WI
Individual Active NPI 1407967011
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 646 | 2,305 | $267,774 | $182,521 | $132,817 |
| 2023 | 680 | 2,017 | $243,003 | $182,328 | $137,279 |
| 2022 | 742 | 1,929 | $211,076 | $170,735 | $122,962 |
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 | 1,346 | $90 | $63 |
| 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 | 303 | $15 | $12 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 184 | $99 | $68 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 115 | $120 | $120 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 106 | $61 | $41 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 70 | $130 | $99 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 26 | $8 | $6 |
| 20610 | Aspiration and/or injection of fluid from large joint | 21 | $44 | $30 |
| 99496 | Transitional care management services for problem of high complexity | 11 | $176 | $140 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 49438 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.