DONALD KUTNER, DO
Gastroenterology Physician · FAIR LAWN, NJ
Individual Active NPI 1477522712
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 428 | 4,091 | $1,110,187 | $277,333 | $220,438 |
| 2023 | 385 | 2,367 | $1,023,207 | $243,198 | $188,652 |
| 2022 | 471 | 3,642 | $1,402,241 | $321,063 | $247,799 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 759 | $56 | $45 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 296 | $56 | $45 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 258 | $89 | $72 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 220 | $105 | $82 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 174 | $149 | $110 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 164 | $73 | $59 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 119 | $105 | $81 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | $196 | $158 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 56 | $129 | $85 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 56 | $167 | $136 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 55 | $147 | $118 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 54 | $124 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MB40513 | NJ |
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.