GERALD SPARKS, MD
Family Medicine Physician · HAMMOND, LA
Individual Active NPI 1477595932
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 243 | 1,112 | $173,543 | $62,271 | $43,767 |
| 2023 | 264 | 933 | $151,960 | $62,868 | $44,182 |
| 2022 | 300 | 1,009 | $161,521 | $70,681 | $50,420 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 362 | $91 | $60 |
| 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 | 299 | $16 | $12 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 175 | $47 | $36 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 105 | $62 | $41 |
| 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 | 41 | $33 | $26 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 21 | $50 | $39 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 19 | $38 | $30 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 14 | $47 | $38 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | MD.021501 | LA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Louisiana
- NPI 1902225162
- NPI 1396742508
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- NPI 1598260895
- NPI 1033153861
- NPI 1962428953
- NPI 1548231020
- NPI 1093244832
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.