JOLLY OMBAO, M.D.
Pain Medicine (Anesthesiology) Physician · WILKES BARRE, PA
Individual Active NPI 1487891255
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 302 | 1,039 | $597,975 | $82,425 | $61,321 |
| 2023 | 278 | 686 | $514,468 | $63,653 | $48,739 |
| 2022 | 275 | 1,336 | $1,112,651 | $133,092 | $98,294 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 149 | $125 | $93 |
| 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 | 124 | $16 | $12 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 82 | $124 | $97 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 57 | $94 | $71 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 57 | $52 | $37 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 52 | $99 | $74 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 51 | $118 | $87 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 49 | $66 | $51 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 42 | $85 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 41 | $91 | $71 |
| 20552 | Injection of trigger points, 1-2 muscles | 40 | $34 | $23 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 37 | $62 | $48 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ✓ | MD440826 | PA |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 60251679 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pain Medicine (Anesthesiology) Physician providers in Pennsylvania
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.