NICHOLAS GUSTAFSON
Hematology & Oncology Physician · SHEBOYGAN, WI
Individual Active NPI 1508286386
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 342 | 982 | $213,710 | $101,087 | $74,977 |
| 2023 | 308 | 895 | $179,015 | $92,574 | $69,723 |
| 2022 | 277 | 759 | $158,038 | $82,674 | $60,882 |
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 | 510 | $89 | $63 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 286 | $133 | $103 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 65 | $61 | $42 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 37 | $167 | $133 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 25 | $123 | $95 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 19 | $61 | $43 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | $120 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ✓ | 72979 | WI |
| Hospitalist Physician | 208M00000X | 02005360A | IN |
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.