npidexNPI registry + Medicare data

MITCHELL DAUGHERTY

Sports Medicine (Family Medicine) Physician · SOUTH BEND, IN

Individual Active NPI 1417481540

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241761,222$174,736$61,752$45,118
20231931,412$197,105$70,652$52,465
20221761,114$145,793$52,771$39,571

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg459$1$1
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more141$118$81
20611Aspiration and/or injection of fluid large joint using ultrasound guidance115$104$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more89$84$58
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more43$153$111
73030X-ray of shoulder, minimum of 2 views21$25$14
73564X-ray of knee, 4 or more views16$43$20

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Sports Medicine (Family Medicine) Physician207QS0010X✓01082368AIN
Family Medicine Physician207Q00000X01082368AIN

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.