ANDREW FONTAINE, MD
Orthopaedic Surgery Physician · STUARTS DRAFT, VA
Individual Active NPI 1417484742
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 313 | 650 | $260,023 | $118,672 | $92,356 |
| 2023 | 78 | 101 | $29,484 | $13,802 | $11,030 |
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 | 186 | $93 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 96 | $127 | $94 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 87 | $63 | $45 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 79 | $138 | $104 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 35 | $162 | $125 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 29 | $11 | $11 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 20 | $30 | $21 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 13 | $903 | $719 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 0101279692 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.