GALE ENGLAND, MD
Surgery Physician · DOWNERS GROVE, IL
Individual Active NPI 1417959297
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 182 | 386 | $170,799 | $58,223 | $44,540 |
| 2023 | 174 | 317 | $110,816 | $41,243 | $31,281 |
| 2022 | 177 | 371 | $171,915 | $61,309 | $48,086 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 144 | $66 | $47 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 55 | $36 | $27 |
| 19301 | Partial removal of breast | 29 | $678 | $529 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 23 | $99 | $75 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 19 | $136 | $100 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 18 | $84 | $67 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 14 | $186 | $148 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 12 | $248 | $198 |
| 38900 | Imaging of lymph nodes during surgery | 11 | $147 | $117 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 0396095786 | IL |
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.