ETHAN HOERSCHGEN, M.D.
Nephrology Physician · SPRINGFIELD, MO
Individual Active NPI 1447332945
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 393 | 1,397 | $541,577 | $212,331 | $157,186 |
| 2023 | 417 | 1,605 | $759,312 | $292,972 | $220,789 |
| 2022 | 470 | 1,495 | $654,191 | $242,960 | $181,909 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 229 | $327 | $251 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 198 | $110 | $87 |
| 90966 | Home dialysis services per month (20 years or older) | 188 | $264 | $199 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 179 | $81 | $41 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 137 | $15 | $12 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 85 | $72 | $56 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 63 | $154 | $104 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 56 | $271 | $196 |
| 90935 | Hemodialysis procedure with physician evaluation | 55 | $65 | $51 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 45 | $159 | $121 |
| 90945 | Dialysis procedure including 1 evaluation | 29 | $57 | $43 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 20 | $80 | $41 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 2007018015 | MO |
| Internal Medicine Physician | 207R00000X | 2004014110 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Missouri
- NPI 1912223298
- NPI 1619186301
- NPI 1063509404
- NPI 1396788261
- NPI 1720010051
- NPI 1518285261
- NPI 1467644286
- NPI 1376585257
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.