GILBERT FALCON, MD
Family Medicine Physician · BELCOURT, ND
Individual Active NPI 1427288018
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 580 | 3,468 | $227,551 | $79,761 | $66,013 |
| 2023 | 568 | 3,405 | $204,082 | $81,451 | $63,662 |
| 2022 | 508 | 3,100 | $198,021 | $80,891 | $64,266 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 588 | $9 | $9 |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 413 | $11 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 268 | $88 | $61 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 264 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 254 | $10 | $10 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 135 | $13 | $13 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 122 | $16 | $16 |
| 83036 | Hemoglobin a1c level | 117 | $10 | $10 |
| 85610 | Blood test, clotting time | 106 | $4 | $4 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 97 | $8 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 70 | $125 | $85 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 67 | $6 | $6 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 11851 | ND |
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.