THOMAS SHIMSHAK, M.D.
Interventional Cardiology Physician · SEBRING, FL
Individual Active NPI 1467567941
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 255 | 879 | $545,107 | $155,912 | $123,160 |
| 2023 | 421 | 1,343 | $834,987 | $237,371 | $187,987 |
| 2022 | 359 | 1,244 | $792,592 | $215,358 | $170,243 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 196 | $12 | $10 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 111 | $240 | $191 |
| 92928 | Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch | 101 | $519 | $417 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 92 | $67 | $49 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 47 | $177 | $141 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 38 | $98 | $67 |
| 93454 | Insertion of tube in coronary artery for diagnosis with review by radiologist | 25 | $188 | $144 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 22 | $184 | $113 |
| 92978 | Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 20 | $93 | $75 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 17 | $147 | $114 |
| 93459 | Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 16 | $227 | $183 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 13 | $137 | $110 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ✓ | ME122398 | FL |
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.