JOHN GOULART, DO
Surgery Physician · ENID, OK
Individual Active NPI 1417957085
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 274 | 540 | $232,873 | $98,821 | $76,686 |
| 2023 | 259 | 579 | $218,533 | $100,579 | $79,142 |
| 2022 | 240 | 513 | $213,273 | $97,411 | $75,967 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 80 | $154 | $111 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $84 | $57 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 45 | $119 | $80 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 35 | $73 | $58 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | $121 | $90 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 25 | $103 | $79 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 23 | $232 | $195 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 23 | $52 | $38 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 19 | $304 | $242 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | $46 | $34 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 16 | $17 | $13 |
| 47562 | Removal of gallbladder using an endoscope | 13 | $588 | $458 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 4191 | OK |
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.