CARLOS PENCE, PA-C
Physician Assistant · SUN CITY, AZ
Individual Active NPI 1477839041
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 569 | 2,692 | $458,832 | $154,976 | $121,097 |
| 2023 | 565 | 2,630 | $466,245 | $159,073 | $124,070 |
| 2022 | 629 | 2,644 | $487,589 | $165,440 | $126,224 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 697 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 685 | $75 | $56 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 494 | $105 | $75 |
| 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 | 191 | $14 | $11 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 120 | $189 | $189 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 120 | $59 | $59 |
| 20610 | Aspiration and/or injection of fluid from large joint | 82 | $56 | $41 |
| 20552 | Injection of trigger points, 1-2 muscles | 81 | $43 | $32 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 36 | $32 | $24 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 30 | $1 | $0 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 29 | $92 | $69 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $134 | $90 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | 4996 | AZ |
| Medical Physician Assistant | 363AM0700X | 4996 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.