LEONEL ESTOFAN, MD
Epilepsy Physician · EDINBURG, TX
Individual Active NPI 1417339409
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 246 | 472 | $224,859 | $56,341 | $43,278 |
| 2023 | 271 | 550 | $185,810 | $64,884 | $50,576 |
| 2022 | 257 | 567 | $212,961 | $77,679 | $60,589 |
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 | 112 | $91 | $68 |
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 74 | $194 | $154 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 66 | $122 | $93 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 45 | $110 | $87 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | $163 | $129 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 22 | $51 | $41 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | $61 | $37 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 19 | $30 | $24 |
| 96132 | Evaluation of neuropsychological test, first hour | 19 | $101 | $76 |
| 95718 | Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional | 19 | $126 | $100 |
| 95723 | Measurement of brain wave activity (eeg), 61-84 hours with health care professional review and report | 13 | $221 | $162 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | ✓ | S9499 | TX |
| Neurology Physician | 2084N0400X | S9499 | TX |
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.