MATTHEW SUGALSKI, M.D.
Orthopaedic Surgery Physician · LEBANON, TN
Individual Active NPI 1487657169
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 103 | 2,282 | $310,427 | $69,441 | $54,317 |
| 2023 | 110 | 788 | $263,411 | $58,163 | $44,592 |
| 2022 | 125 | 1,417 | $395,023 | $94,887 | $72,921 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,804 | $0 | $0 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 55 | $83 | $64 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 55 | $115 | $85 |
| 20610 | Aspiration and/or injection of fluid from large joint | 32 | $65 | $50 |
| 73030 | X-ray of shoulder, minimum of 2 views | 30 | $30 | $22 |
| 73502 | X-ray of hip, 2-3 views | 25 | $42 | $32 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 24 | $102 | $72 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | $120 | $95 |
| 73564 | X-ray of knee, 4 or more views | 14 | $42 | $34 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 60594 | TN |
| Orthopaedic Surgery Physician | 207X00000X | MD13601 | HI | |
| Orthopaedic Surgery Physician | 207X00000X | MD26225 | OR | |
| Orthopaedic Surgery Physician | 207X00000X | 46419 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | 53892 | KY | |
| Orthopaedic Surgery Physician | 207X00000X | 219380 | NY |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Orthopaedic Surgery Physician providers in Tennessee →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.